Wijewardene, Clera Susan
Wijewardene, Clera Susan is an individual health care provider with primary practice located at 1397 E Los Angeles Ave , Simi Valley CA 93065-2866. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wijewardene, Clera Susan can be contacted via phone (805) 527-8991.Contact Information
Primary practice address
1397 E Los Angeles Ave
Simi Valley CA 93065-2866
Phone: (805) 527-8991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 37754 | California |
Profile Details
| NPI number | 1740331933 |
|---|---|
| LBN Legal business name | Wijewardene, Clera Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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