Tallas, Kimberly Marie

Tallas, Kimberly Marie is an sole proprietor health care provider with primary practice located at 9745 Laurel Canyon , Pacoima CA 91331. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Tallas, Kimberly Marie can be contacted via phone (213) 248-0532.

Contact Information

Primary practice address
9745 Laurel Canyon Pacoima CA 91331
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 89660

Profile Details

NPI number 1992315956
LBN Legal business name Tallas, Kimberly Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2020
Last updated Aug 5th, 2020 - about 5 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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