Marine, Macy Scott
Marine, Macy Scott is an sole proprietor health care provider with primary practice located at 9720 Reseda Blvd Suite 3, Northridge CA 91324-2029. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marine, Macy Scott can be contacted via phone (818) 993-1114.Contact Information
Primary practice address
9720 Reseda Blvd Suite 3
Northridge CA 91324-2029
Phone: (818) 993-1114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD032128 | California |
Profile Details
| NPI number | 1750588216 |
|---|---|
| LBN Legal business name | Marine, Macy Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2007 |
| 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 | 1750588216 | NPPES |
| California | Other | DD032128 | DENTAL LICENSE |
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