Kazbanov, Irina
Kazbanov, Irina is an sole proprietor health care provider with primary practice located at 93 Myrtle Ave Apt 2, Edgewater NJ 07020-1411. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kazbanov, Irina can be contacted via phone (917) 532-0226.Contact Information
Primary practice address
93 Myrtle Ave Apt 2
Edgewater NJ 07020-1411
Phone: (917) 532-0226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 056302-1 | New York |
Profile Details
| NPI number | 1215218649 |
|---|---|
| LBN Legal business name | Kazbanov, Irina |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2011 |
| Last updated | Oct 23rd, 2012 - about 13 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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