List, Ronald Gene

List, Ronald Gene is an individual health care provider with primary practice located at 1460 Baytree Dr Ne , Palm Bay FL 32905-3900. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. List, Ronald Gene can be contacted via phone (321) 914-0915.

Contact Information

Primary practice address
1460 Baytree Dr Ne Palm Bay FL 32905-3900
Fax: (321) 914-0916
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19390 Florida

Profile Details

NPI number 1174803340
LBN Legal business name List, Ronald Gene
Credentials DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2011
Last updated Aug 19th, 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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