Serxner, Keith Evan
Serxner, Keith Evan is an sole proprietor health care provider with primary practice located at 747 Foothill Blvd , La Canada CA 91011-3438. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Serxner, Keith Evan can be contacted via phone (818) 790-1160.Contact Information
Primary practice address
747 Foothill Blvd
La Canada CA 91011-3438
Phone: (818) 790-1160
Fax: (818) 790-5603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 31704 | California |
Profile Details
| NPI number | 1003922956 |
|---|---|
| LBN Legal business name | Serxner, Keith Evan |
| Credentials | DDS,MSPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1003922956 | NPPES |
| California | Other | 31704 | LICENSE |
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