Dentico-Olin, Marc
Dentico-Olin, Marc is an individual health care provider with primary practice located at 501 Washington St Ste 710 , San Diego CA 92103-2231. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Dentico-Olin, Marc can be contacted via phone (619) 295-6774.Contact Information
Primary practice address
501 Washington St Ste 710
San Diego CA 92103-2231
Phone: (619) 295-6774
Fax: (619) 295-6776
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | A143794 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | OMS109 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | A143794 | California |
Profile Details
NPI number | 1629205174 |
---|---|
LBN Legal business name | Dentico-Olin, Marc |
Credentials | DMD, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 11th, 2009 |
Last updated | Jun 19th, 2020 - about 4 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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