Smirnoff, Kirill

Smirnoff, Kirill is an individual health care provider with primary practice located at 959 Myrtle Ave , Eureka CA 95501-1219. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smirnoff, Kirill can be contacted via phone (707) 442-7078.

Contact Information

Primary practice address
959 Myrtle Ave Eureka CA 95501-1219
Phone: (707) 442-7078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 56607 California

Profile Details

NPI number 1699956151
LBN Legal business name Smirnoff, Kirill
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699956151 NPPES
California MEDICAID FHC70970F

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