White, Lance Anthony

White, Lance Anthony is an sole proprietor health care provider with primary practice located at 1302 Holly Ave , Imperial Beach CA 91932-3709. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. White, Lance Anthony can be contacted via phone (619) 451-0610.

Contact Information

Primary practice address
1302 Holly Ave Imperial Beach CA 91932-3709
Phone: (619) 451-0610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 82300 California

Profile Details

NPI number 1336703990
LBN Legal business name White, Lance Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2019
Last updated Apr 29th, 2019 - about 6 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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