Frostad, Kenneth Brian

Frostad, Kenneth Brian is an individual health care provider with primary practice located at 7916 Pebble Beach Dr Suite 104, Citrus Heights CA 95610-7790. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Frostad, Kenneth Brian can be contacted via phone (916) 962-0545.

Contact Information

Primary practice address
7916 Pebble Beach Dr Suite 104 Citrus Heights CA 95610-7790
Phone: (916) 962-0545
Fax: (916) 962-0927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22882 California

Profile Details

NPI number 1043435076
LBN Legal business name Frostad, Kenneth Brian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
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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