Rick, Gordon Marvin

Rick, Gordon Marvin is an sole proprietor health care provider with primary practice located at 5190 Governor Dr Suite 106, San Diego CA 92122-2847. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Rick, Gordon Marvin can be contacted via phone (858) 784-0600.

Contact Information

Primary practice address
5190 Governor Dr Suite 106 San Diego CA 92122-2847
Phone: (858) 784-0600
Fax: (858) 784-0604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 20041 California

Profile Details

NPI number 1679693550
LBN Legal business name Rick, Gordon Marvin
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Mar 14th, 2008 - about 16 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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