Outhouse, Trentington Lane

Outhouse, Trentington Lane is an individual health care provider with primary practice located at Nbhc, Nsa, Asu, Bah Psc 451 Box 340, Fpo AE 09834-2800. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Outhouse, Trentington Lane can be contacted via phone 01197339607621.

Contact Information

Primary practice address
Nbhc, Nsa, Asu, Bah Psc 451 Box 340 Fpo AE 09834-2800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 52796 California
Dental Providers / General Practice 1223G0001X 4980 Louisiana

Profile Details

NPI number 1700856515
LBN Legal business name Outhouse, Trentington Lane
Credentials DDS, MS, FAGD, ABGD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 21st, 2022 - about 2 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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