Church, Todd Douglas

Church, Todd Douglas is an sole proprietor health care provider with primary practice located at 338 S Dakota Ave , Vandenberg Afb CA 93437-6307. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Church, Todd Douglas can be contacted via phone (805) 606-1846.

Contact Information

Primary practice address
338 S Dakota Ave Vandenberg Afb CA 93437-6307
Phone: (805) 606-1846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8010086-9922 Utah
Dental Providers / Dentist 122300000X 8010086-9922 Utah

Profile Details

NPI number 1396031506
LBN Legal business name Church, Todd Douglas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2011
Last updated Jul 30th, 2018 - about 8 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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