Won, John Boram
Won, John Boram is an individual health care provider with primary practice located at 11092 Anderson Street Llu School Of Dentistry, Loma Linda CA 92350-0001. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Won, John Boram can be contacted via phone (909) 558-4613.Contact Information
Primary practice address
11092 Anderson Street Llu School Of Dentistry
Loma Linda CA 92350-0001
Phone: (909) 558-4613
Fax: (909) 558-4192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 55828 | California |
Profile Details
| NPI number | 1700036266 |
|---|---|
| LBN Legal business name | Won, John Boram |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2008 |
| Last updated | Sep 22nd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700036266 | NPPES |
| California | Other | 55828 | STATE LICENSE |
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