Landis, Sally

Landis, Sally is an individual health care provider with primary practice located at 411 4Th St , San Rafael CA 94901-5716. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Landis, Sally can be contacted via phone (415) 473-5450.

Contact Information

Primary practice address
411 4Th St San Rafael CA 94901-5716
Phone: (415) 473-5450
Fax: (415) 473-5460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 39958 California

Profile Details

NPI number 1124342654
LBN Legal business name Landis, Sally
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2010
Last updated Mar 26th, 2010 - about 15 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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