Martin, David R
Martin, David R is an sole proprietor health care provider with primary practice located at 1418 W 25Th St , San Pedro CA 90732-4418. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, David R can be contacted via phone (310) 547-4413.Contact Information
Primary practice address
1418 W 25Th St
San Pedro CA 90732-4418
Phone: (310) 547-4413
Fax: (310) 547-1443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 24141 | California |
Profile Details
NPI number | 1487721825 |
---|---|
LBN Legal business name | Martin, David R |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 29th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1487721825 | NPPES |
California | Other | B24141-01 | DENTI-CAL |
California | Other | 782565 | DENTI-CAL |
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