Fang, Jurie Du
Fang, Jurie Du is an individual health care provider with primary practice located at 2096 W. La Habra Blvd , La Habra CA 90631-5007. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fang, Jurie Du can be contacted via phone (562) 905-1828.Contact Information
Primary practice address
2096 W. La Habra Blvd
La Habra CA 90631-5007
Phone: (562) 905-1828
Fax: (562) 905-1180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 41074 | California |
Profile Details
| NPI number | 1700942992 |
|---|---|
| LBN Legal business name | Fang, Jurie Du |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Sep 12th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700942992 | NPPES |
| California | Other | D41074 | DENTI-CAL RENDERING PIN |
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