Van Brocklin, Kyle Bruce
Van Brocklin, Kyle Bruce is an sole proprietor health care provider with primary practice located at 525 Bollinger Canyon Way Ste 101 , San Ramon CA 94582-4935. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Van Brocklin, Kyle Bruce can be contacted via phone (925) 735-8707.Contact Information
Primary practice address
525 Bollinger Canyon Way Ste 101
San Ramon CA 94582-4935
Phone: (925) 735-8707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 37177 | California |
Profile Details
| NPI number | 1659454015 |
|---|---|
| LBN Legal business name | Van Brocklin, Kyle Bruce |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2006 |
| 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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