Jenderseck, Richard Stephen
Jenderseck, Richard Stephen is an sole proprietor health care provider with primary practice located at 1416 Townview Ln , Santa Rosa CA 95405. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jenderseck, Richard Stephen can be contacted via phone (707) 578-3010.Contact Information
Primary practice address
1416 Townview Ln
Santa Rosa CA 95405
Phone: (707) 578-3010
Fax: (707) 578-0343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 30223 | California |
Profile Details
| NPI number | 1881812766 |
|---|---|
| LBN Legal business name | Jenderseck, Richard Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 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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