Laksana, Dani
Laksana, Dani is an individual health care provider with primary practice located at 4426 Appian Way , El Sobrante CA 94803-2208. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Laksana, Dani can be contacted via phone (510) 222-1621.Contact Information
Primary practice address
4426 Appian Way
El Sobrante CA 94803-2208
Phone: (510) 222-1621
Fax: (510) 222-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 42348 | California |
Profile Details
| NPI number | 1457421752 |
|---|---|
| LBN Legal business name | Laksana, Dani |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457421752 | NPPES |
| California | Other | B4234801 | MEDI CAL DENTI CAL |
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