Jaksic, Nicholas Stephen

Jaksic, Nicholas Stephen is an sole proprietor health care provider with primary practice located at 1360 West 6Th Street Suite 285, San Pedro CA 90732. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jaksic, Nicholas Stephen can be contacted via phone (310) 832-1181.

Contact Information

Primary practice address
1360 West 6Th Street Suite 285 San Pedro CA 90732
Phone: (310) 832-1181
Fax: (310) 832-3722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 38058 California

Profile Details

NPI number 1285656645
LBN Legal business name Jaksic, Nicholas Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jun 19th, 2008 - 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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