Klokkevold, Perry Richard
Klokkevold, Perry Richard is an sole proprietor health care provider with primary practice located at 100 Ucla Medical Plaza Suite #320, Los Angeles CA 90095-1668. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Klokkevold, Perry Richard can be contacted via phone (310) 206-6252.Contact Information
Primary practice address
100 Ucla Medical Plaza Suite #320
Los Angeles CA 90095-1668
Phone: (310) 206-6252
Fax: (310) 825-1903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 34623 | California |
Profile Details
| NPI number | 1982920955 |
|---|---|
| LBN Legal business name | Klokkevold, Perry Richard |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2010 |
| Last updated | Apr 15th, 2010 - about 14 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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