Ghozlan, Ayman

Ghozlan, Ayman is an individual health care provider with primary practice located at 1745 W Kettleman Ln B, Lodi CA 95242-9287. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ghozlan, Ayman can be contacted via phone (916) 337-1077.

Contact Information

Primary practice address
1745 W Kettleman Ln B Lodi CA 95242-9287
Phone: (916) 337-1077
Fax: (916) 897-2567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 46060 California

Profile Details

NPI number 1740320480
LBN Legal business name Ghozlan, Ayman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 18th, 2010 - about 15 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 1740320480 NPPES
California MEDICAID D46060

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