Klimushkin, Alexander

Klimushkin, Alexander is an individual health care provider with primary practice located at 1390 Windemere Ct , West Sacramento CA 95605-1900. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Klimushkin, Alexander can be contacted via phone (916) 709-3495.

Contact Information

Primary practice address
1390 Windemere Ct West Sacramento CA 95605-1900
Phone: (916) 709-3495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 55361 California

Profile Details

NPI number 1023156619
LBN Legal business name Klimushkin, Alexander
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Jan 22nd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023156619 NPPES
California MEDICAID D55361

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