Hardin, Dennis Ralph

Hardin, Dennis Ralph is an individual health care provider with primary practice located at 222 N Sepulveda Blvd , El Segundo CA 90245-5648. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hardin, Dennis Ralph can be contacted via phone (800) 373-5400.

Contact Information

Primary practice address
222 N Sepulveda Blvd El Segundo CA 90245-5648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20757 California

Profile Details

NPI number 1558506113
LBN Legal business name Hardin, Dennis Ralph
Credentials GENERAL DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Apr 7th, 2010 - about 14 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 1558506113 NPPES
California MEDICAID 20757

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