Oumnov, Sergey
Oumnov, Sergey is an sole proprietor health care provider with primary practice located at 114 Birch St Suite C, Redwood City CA 94062-1398. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Oumnov, Sergey can be contacted via phone (650) 365-5546.Contact Information
Primary practice address
114 Birch St Suite C
Redwood City CA 94062-1398
Phone: (650) 365-5546
Fax: (650) 364-7776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 42390 | California |
Profile Details
| NPI number | 1992917389 |
|---|---|
| LBN Legal business name | Oumnov, Sergey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 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 | 1992917389 | NPPES |
| California | Other | 42390 | LICENSE |
| California | Other | B42390 01 | LICENSE |
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