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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588288138 NPPES
California MEDICAID 97706578F90105

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