Fa, Jesse Michael
Fa, Jesse Michael is an sole proprietor health care provider with primary practice located at 2201 Balfour Rd Ste E , Brentwood CA 94513-4927. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fa, Jesse Michael can be contacted via phone (925) 308-7908.Contact Information
Primary practice address
2201 Balfour Rd Ste E
Brentwood CA 94513-4927
Phone: (925) 308-7908
Fax: (925) 308-7910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 55360 | California |
Profile Details
NPI number | 1629291091 |
---|---|
LBN Legal business name | Fa, Jesse Michael |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2007 |
Last updated | Apr 8th, 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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