Koeltl, Jon Michael

Koeltl, Jon Michael is an sole proprietor health care provider with primary practice located at 156 Diablo Rd Ste 202 , Danville CA 94526-3312. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Koeltl, Jon Michael can be contacted via phone (925) 837-1742.

Contact Information

Primary practice address
156 Diablo Rd Ste 202 Danville CA 94526-3312
Fax: (925) 837-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 47744 California

Profile Details

NPI number 1477672533
LBN Legal business name Koeltl, Jon Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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