Scianamblo, Michael John

Scianamblo, Michael John is an sole proprietor health care provider with primary practice located at 1526 5Th Ave , San Rafael CA 94901-1852. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Scianamblo, Michael John can be contacted via phone (415) 457-3002.

Contact Information

Primary practice address
1526 5Th Ave San Rafael CA 94901-1852
Fax: (415) 457-0591
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 27065 California

Profile Details

NPI number 1730245903
LBN Legal business name Scianamblo, Michael John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 18 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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