Herman, Gary Neil

Herman, Gary Neil is an individual health care provider with primary practice located at 12849 Magnolia Blvd , Valley Village CA 91607-2356. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Herman, Gary Neil can be contacted via phone (818) 766-3777.

Contact Information

Primary practice address
12849 Magnolia Blvd Valley Village CA 91607-2356
Phone: (818) 766-3777
Fax: (818) 766-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 23616 California

Profile Details

NPI number 1538176045
LBN Legal business name Herman, Gary Neil
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538176045 NPPES
California MEDICAID BA23616

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