Duncan, Kathleen Denise

Duncan, Kathleen Denise is an sole proprietor health care provider with primary practice located at 11294 Coloma Rd Ste C , Gold River CA 95670-4486. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Duncan, Kathleen Denise can be contacted via phone (916) 858-0565.

Contact Information

Primary practice address
11294 Coloma Rd Ste C Gold River CA 95670-4486
Fax: (916) 858-0563
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 44672 California

Profile Details

NPI number 1053411199
LBN Legal business name Duncan, Kathleen Denise
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053411199 NPPES
California Other G93110-01 MEDI-CAL DENTAL PROGRAM

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