Sam, Douglas Bryan

Sam, Douglas Bryan is an individual health care provider with primary practice located at 4519 Admiralty Way Ste 120 , Marina Del Rey CA 90292-5455. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sam, Douglas Bryan can be contacted via phone (310) 821-5288.

Contact Information

Primary practice address
4519 Admiralty Way Ste 120 Marina Del Rey CA 90292-5455
Phone: (310) 821-5288
Fax: (310) 821-0153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 40009 California

Profile Details

NPI number 1467629949
LBN Legal business name Sam, Douglas Bryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated May 13th, 2008 - about 17 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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