Kordusky, Benjamin Andrew
Kordusky, Benjamin Andrew is an individual health care provider with primary practice located at 8415 Elk Grove Blvd Bldg B , Elk Grove CA 95758-9573. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Kordusky, Benjamin Andrew can be contacted via phone (916) 755-6213.Contact Information
Primary practice address
8415 Elk Grove Blvd Bldg B
Elk Grove CA 95758-9573
Phone: (916) 755-6213
Fax: (916) 755-6214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Prosthodontics | 1223P0700X | 4269 | West Virginia |
Dental Providers / Prosthodontics | 1223P0700X | 106157 | California |
Profile Details
NPI number | 1417487513 |
---|---|
LBN Legal business name | Kordusky, Benjamin Andrew |
Credentials | DDS, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2017 |
Last updated | Jun 28th, 2022 - about 2 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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