Deberardinis, Marc Callen
Deberardinis, Marc Callen is an individual health care provider with primary practice located at 1476 Professional Dr Suite 506, Petaluma CA 94954-1500. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Deberardinis, Marc Callen can be contacted via phone (707) 762-0211.Contact Information
Primary practice address
1476 Professional Dr Suite 506
Petaluma CA 94954-1500
Phone: (707) 762-0211
Fax: (707) 762-5149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 46375 | California |
Profile Details
| NPI number | 1245369826 |
|---|---|
| LBN Legal business name | Deberardinis, Marc Callen |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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