Koolick, Ben Michael
Koolick, Ben Michael is an sole proprietor health care provider with primary practice located at 8390 W Cactus Rd Ste 110 , Peoria AZ 85381-5206. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Koolick, Ben Michael can be contacted via phone (623) 878-3300.Contact Information
Primary practice address
8390 W Cactus Rd Ste 110
Peoria AZ 85381-5206
Phone: (623) 878-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | AZ6037 | Arizona |
Profile Details
| NPI number | 1104818467 |
|---|---|
| LBN Legal business name | Koolick, Ben Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Apr 3rd, 2011 - about 13 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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