Lewis, Phyllis Dianne
Lewis, Phyllis Dianne is an sole proprietor health care provider with primary practice located at 5635 S Verdun Ave , Los Angeles CA 90043-2123. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Lewis, Phyllis Dianne can be contacted via phone (310) 916-2291.Contact Information
Primary practice address
5635 S Verdun Ave
Los Angeles CA 90043-2123
Phone: (310) 916-2291
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | HAP 142 | California |
Profile Details
| NPI number | 1477839330 |
|---|---|
| LBN Legal business name | Lewis, Phyllis Dianne |
| Credentials | RDHAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2011 |
| Last updated | Oct 24th, 2011 - about 13 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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