Pitzak, Larry Vernon

Pitzak, Larry Vernon is an individual health care provider with primary practice located at 43983 Medinah Dr , Indio CA 92201-8901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pitzak, Larry Vernon can be contacted via phone (714) 396-4025.

Contact Information

Primary practice address
43983 Medinah Dr Indio CA 92201-8901
Phone: (714) 396-4025
Fax: (714) 960-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 25611 California

Profile Details

NPI number 1720239833
LBN Legal business name Pitzak, Larry Vernon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Oct 22nd, 2013 - about 11 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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