Wiederkehr, Sabina

Wiederkehr, Sabina is an individual health care provider with primary practice located at 4444 Tweedy Blvd , South Gate CA 90280-6304. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wiederkehr, Sabina can be contacted via phone (323) 564-2444.

Contact Information

Primary practice address
4444 Tweedy Blvd South Gate CA 90280-6304
Fax: (323) 249-7565
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 53889 California

Profile Details

NPI number 1043356728
LBN Legal business name Wiederkehr, Sabina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Dec 23rd, 2015 - about 9 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 1043356728 NPPES
California MEDICAID D53889

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