Waddy, Savannah

Waddy, Savannah is an individual health care provider with primary practice located at 520 E Carson Plaza Ct 101, Carson CA 90746-3289. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Waddy, Savannah can be contacted via phone (310) 323-4543.

Contact Information

Primary practice address
520 E Carson Plaza Ct 101 Carson CA 90746-3289
Phone: (310) 323-4543
Fax: (310) 323-4548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X D31136 California

Profile Details

NPI number 1598758427
LBN Legal business name Waddy, Savannah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 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 1598758427 NPPES
California MEDICAID 508101
California MEDICAID D3113601

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