Divita, Carl Louis

Divita, Carl Louis is an sole proprietor health care provider with primary practice located at 2800 Spencerport Road A4, Spencerport NY 14559-2180. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Divita, Carl Louis can be contacted via phone (585) 352-3627.

Contact Information

Primary practice address
2800 Spencerport Road A4 Spencerport NY 14559-2180
Phone: (585) 352-3627
Fax: (585) 352-1678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 027463-1 New York

Profile Details

NPI number 1710912274
LBN Legal business name Divita, Carl Louis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
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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