Khommarath, Annie
Khommarath, Annie is an individual health care provider with primary practice located at 1846 Amargosa Dr , Palmdale CA 93551-5114. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Khommarath, Annie can be contacted via phone (818) 645-6069.Contact Information
Primary practice address
1846 Amargosa Dr
Palmdale CA 93551-5114
Phone: (818) 645-6069
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Assistant | 126800000X | 79331 | California |
Profile Details
NPI number | 1366982399 |
---|---|
LBN Legal business name | Khommarath, Annie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2017 |
Last updated | Feb 23rd, 2017 - about 8 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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