Hur, Jae Sik
Hur, Jae Sik is an sole proprietor health care provider with primary practice located at 4100 Montgomery Dr , Santa Rosa CA 95405-5282. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hur, Jae Sik can be contacted via phone (707) 537-3601.Contact Information
Primary practice address
4100 Montgomery Dr
Santa Rosa CA 95405-5282
Phone: (707) 537-3601
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 54911 | California |
Profile Details
NPI number | 1851452353 |
---|---|
LBN Legal business name | Hur, Jae Sik |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2006 |
Last updated | Jul 8th, 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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