Davis, Mark Howard
Davis, Mark Howard is an individual health care provider with primary practice located at 1414 S Grand Ave Suite 485, Los Angeles CA 90015-3076. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Davis, Mark Howard can be contacted via phone (213) 744-1752.Contact Information
Primary practice address
1414 S Grand Ave Suite 485
Los Angeles CA 90015-3076
Phone: (213) 744-1752
Fax: (213) 744-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 44469 | California |
Profile Details
| NPI number | 1306839162 |
|---|---|
| LBN Legal business name | Davis, Mark Howard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 21st, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306839162 | NPPES |
| California | Other | G91674-01 | DENTI-CAL |
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