Udolph, Charles H

Udolph, Charles H is an sole proprietor health care provider with primary practice located at 7345 Medical Center Dr Suite 330, West Hills CA 91307-1910. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Udolph, Charles H can be contacted via phone (818) 346-6282.

Contact Information

Primary practice address
7345 Medical Center Dr Suite 330 West Hills CA 91307-1910
Fax: (818) 346-5174
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 21659 California

Profile Details

NPI number 1740273820
LBN Legal business name Udolph, Charles H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1740273820 NPPES
California Other B21659 DENTI-CAL

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