Kolchansky, Mark

Kolchansky, Mark is an individual health care provider with primary practice located at 665 E Los Angeles Ave Ste D , Simi Valley CA 93065-1853. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kolchansky, Mark can be contacted via phone (805) 577-8333.

Contact Information

Primary practice address
665 E Los Angeles Ave Ste D Simi Valley CA 93065-1853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 46082 California

Profile Details

NPI number 1972667863
LBN Legal business name Kolchansky, Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 31st, 2021 - about 3 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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