Kruk-Leahy, Daniel
Kruk-Leahy, Daniel is an individual health care provider with primary practice located at 1401 Avocado Ave Ste 404 , Newport Beach CA 92660-7783. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kruk-Leahy, Daniel can be contacted via phone (213) 364-9120.Contact Information
Primary practice address
1401 Avocado Ave Ste 404
Newport Beach CA 92660-7783
Phone: (213) 364-9120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 106402 | California |
Profile Details
NPI number | 1588288138 |
---|---|
LBN Legal business name | Kruk-Leahy, Daniel |
Credentials | DDS, MS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 29th, 2020 |
Last updated | May 30th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588288138 | NPPES |
California | MEDICAID | 97706578F90105 |
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