Komabayashi, Takashi

Komabayashi, Takashi is an individual health care provider with primary practice located at 716 Stevens Ave , Portland ME 04103-2656. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Komabayashi, Takashi can be contacted via phone (207) 221-4721.

Contact Information

Primary practice address
716 Stevens Ave Portland ME 04103-2656
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 4438 Maine

Profile Details

NPI number 1265745384
LBN Legal business name Komabayashi, Takashi
Credentials DDS, MDS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2010
Last updated Aug 21st, 2015 - about 9 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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