Kroll, Jared Andrew

Kroll, Jared Andrew is an individual health care provider with primary practice located at 1406 N Azusa Ave Ste C , Covina CA 91722-1257. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Kroll, Jared Andrew can be contacted via phone (626) 858-9940.

Contact Information

Primary practice address
1406 N Azusa Ave Ste C Covina CA 91722-1257
Fax: (626) 858-9366
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1023256542
LBN Legal business name Kroll, Jared Andrew
Credentials D.A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2009
Last updated Jan 22nd, 2009 - about 16 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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