Holloway, Trevor Keith
Holloway, Trevor Keith is an sole proprietor health care provider with primary practice located at Llusd Special Care Dentistry 11092 Anderson, Loma Linda CA 92350-0001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Holloway, Trevor Keith can be contacted via phone (909) 558-4611.Contact Information
Primary practice address
Llusd Special Care Dentistry 11092 Anderson
Loma Linda CA 92350-0001
Phone: (909) 558-4611
Fax: (909) 558-0106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 55390 | California |
Profile Details
| NPI number | 1639217318 |
|---|---|
| LBN Legal business name | Holloway, Trevor Keith |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639217318 | NPPES |
| California | Other | 55390 | DENTAL LICENSE |
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