Zlotolow, Ian
Zlotolow, Ian is an sole proprietor health care provider with primary practice located at 1206 The Alameda , Berkeley CA 94709-1907. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Zlotolow, Ian can be contacted via phone (510) 525-7521.Contact Information
Primary practice address
1206 The Alameda
Berkeley CA 94709-1907
Phone: (510) 525-7521
Fax: (510) 525-5262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 53508 | California |
Profile Details
| NPI number | 1750414835 |
|---|---|
| LBN Legal business name | Zlotolow, Ian |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750414835 | NPPES |
| California | Other | 53508 | LIC # |
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