Kotsubo, Jeffrey Michael

Kotsubo, Jeffrey Michael is an sole proprietor health care provider with primary practice located at 1304 15Th St Suite #318, Santa Monica CA 90404-1809. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kotsubo, Jeffrey Michael can be contacted via phone (310) 458-6677.

Contact Information

Primary practice address
1304 15Th St Suite #318 Santa Monica CA 90404-1809
Phone: (310) 458-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 38439 California

Profile Details

NPI number 1184834442
LBN Legal business name Kotsubo, Jeffrey Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 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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