Haun, Diane L

Haun, Diane L is an sole proprietor health care provider with primary practice located at 10736 Jefferson Blvd # 411 , Culver City CA 90230-4933. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Haun, Diane L can be contacted via phone (310) 617-2302.

Contact Information

Primary practice address
10736 Jefferson Blvd # 411 Culver City CA 90230-4933
Phone: (310) 617-2302
Fax: (310) 572-6062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X HAP 38 California
Dental Providers / Dental Hygienist 124Q00000X 11303 California

Profile Details

NPI number 1093860876
LBN Legal business name Haun, Diane L
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated May 28th, 2009 - about 16 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 1093860876 NPPES
California Other 11303 DELTA DENTAL
California MEDICAID H00038-01 DELTA DENTAL
California Other 147044 DELTA DENTAL

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