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:
Health care specialties
| Specialty | Code | License # | 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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