Grock, Simon
Grock, Simon is an sole proprietor health care provider with primary practice located at 4553 Glencoe Ave # 310 , Marina Del Rey CA 90292-7906. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Grock, Simon can be contacted via phone (310) 384-3404.Contact Information
Primary practice address
4553 Glencoe Ave # 310
Marina Del Rey CA 90292-7906
Phone: (310) 384-3404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 26412 | California |
Profile Details
| NPI number | 1235590787 |
|---|---|
| LBN Legal business name | Grock, Simon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2016 |
| Last updated | Mar 11th, 2016 - about 8 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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