Deberardinis, Leah T
Deberardinis, Leah T is an individual health care provider with primary practice located at 511 Hayes Ln , Petaluma CA 94952-4011. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Deberardinis, Leah T can be contacted via phone (707) 763-2654.Contact Information
Primary practice address
511 Hayes Ln
Petaluma CA 94952-4011
Phone: (707) 763-2654
Fax: (707) 763-3141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 51523 | California |
Profile Details
| NPI number | 1396947693 |
|---|---|
| LBN Legal business name | Deberardinis, Leah T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Jun 30th, 2011 - about 14 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.
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