Pytlik, Lukas John
Pytlik, Lukas John is an individual health care provider with primary practice located at 4130 La Jolla Village Dr Suite #204, La Jolla CA 92037-9121. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pytlik, Lukas John can be contacted via phone (858) 452-8933.Contact Information
Primary practice address
4130 La Jolla Village Dr Suite #204
La Jolla CA 92037-9121
Phone: (858) 452-8933
Fax: (858) 452-5927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D55141 | California |
Profile Details
| NPI number | 1760691265 |
|---|---|
| LBN Legal business name | Pytlik, Lukas John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Oct 8th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760691265 | NPPES |
| California | Other | D55141 | STATE LICENSE |
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