Otto, Kristan Nicole
Otto, Kristan Nicole is an individual health care provider with primary practice located at 12121 Wilshire Blvd 1111, Los Angeles CA 90025-1123. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Otto, Kristan Nicole can be contacted via phone (310) 820-9933.Contact Information
Primary practice address
12121 Wilshire Blvd 1111
Los Angeles CA 90025-1123
Phone: (310) 820-9933
Fax: (310) 820-0408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | D160110472 | Washington |
Profile Details
| NPI number | 1225476880 |
|---|---|
| LBN Legal business name | Otto, Kristan Nicole |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Jun 5th, 2013 - about 12 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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