Kostlan, Ernest Lynn

Kostlan, Ernest Lynn is an individual health care provider with primary practice located at 275 Victoria 2E, Costa Mesa CA 92627. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kostlan, Ernest Lynn can be contacted via phone (949) 631-1420.

Contact Information

Primary practice address
275 Victoria 2E Costa Mesa CA 92627
Fax: (949) 548-8844
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11804 California

Profile Details

NPI number 1912120684
LBN Legal business name Kostlan, Ernest Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912120684 NPPES
California Other B1180401 DENTICAL

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