Konviser, Vadim
Konviser, Vadim is an sole proprietor health care provider with primary practice located at 13155 Mindanao Way , Marine Del Rey CA 90292. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Konviser, Vadim can be contacted via phone (310) 821-2611.Contact Information
Primary practice address
13155 Mindanao Way
Marine Del Rey CA 90292
Phone: (310) 821-2611
Fax: (310) 821-8966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 51095 | California |
Profile Details
| NPI number | 1497912547 |
|---|---|
| LBN Legal business name | Konviser, Vadim |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2008 |
| Last updated | Aug 15th, 2023 - about last year |
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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