Frazier, Joanna

Frazier, Joanna is an individual health care provider with primary practice located at 12050 Ventura Blvd Ste C101 , Studio City CA 91604-2639. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Frazier, Joanna can be contacted via phone (818) 296-9142.

Contact Information

Primary practice address
12050 Ventura Blvd Ste C101 Studio City CA 91604-2639
Phone: (818) 296-9142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 108410 California

Profile Details

NPI number 1811573595
LBN Legal business name Frazier, Joanna
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2021
Last updated Apr 7th, 2023 - about 2 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 1811573595 NPPES
California Other 108410 DENTAL LICENSE
California Other 15414995 DENTAL LICENSE
California Other 30.026575 DENTAL LICENSE

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