Disick, Evan Schaffer

Disick, Evan Schaffer is an individual health care provider with primary practice located at 591 Redwood Hwy Building 2000, Suite 2110, Mill Valley CA 94941-6001. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Disick, Evan Schaffer can be contacted via phone (415) 381-4321.

Contact Information

Primary practice address
591 Redwood Hwy Building 2000, Suite 2110 Mill Valley CA 94941-6001
Phone: (415) 381-4321
Fax: (415) 381-4056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 51917 California

Profile Details

NPI number 1538182084
LBN Legal business name Disick, Evan Schaffer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 18 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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