Samuel, Alan Lee

Samuel, Alan Lee is an sole proprietor health care provider with primary practice located at 615 Harris St , Eureka CA 95503-4447. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Samuel, Alan Lee can be contacted via phone (707) 442-1754.

Contact Information

Primary practice address
615 Harris St Eureka CA 95503-4447
Phone: (707) 442-1754
Fax: (707) 442-1755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 24852 California

Profile Details

NPI number 1710033618
LBN Legal business name Samuel, Alan Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jun 25th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710033618 NPPES
California Other 24852 DENTAL LICSENS

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