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
Fax: (916) 755-6214
Website:

Health care specialties

SpecialtyCodeLicense #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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