Ikeda, Clyde Steven

Ikeda, Clyde Steven is an sole proprietor health care provider with primary practice located at 2503 Professional Pkwy , Santa Maria CA 93455-1657. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ikeda, Clyde Steven can be contacted via phone (805) 934-4500.

Contact Information

Primary practice address
2503 Professional Pkwy Santa Maria CA 93455-1657
Phone: (805) 934-4500
Fax: (805) 934-5263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30699 California

Profile Details

NPI number 1316093552
LBN Legal business name Ikeda, Clyde Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
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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