Clevenger, Daniel Vincent

Clevenger, Daniel Vincent is an sole proprietor health care provider with primary practice located at 675 Mariners Island Blvd #105 , San Mateo CA 94404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Clevenger, Daniel Vincent can be contacted via phone (650) 345-5711.

Contact Information

Primary practice address
675 Mariners Island Blvd #105 San Mateo CA 94404
Fax: (650) 345-5780
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 35701 California

Profile Details

NPI number 1215977210
LBN Legal business name Clevenger, Daniel Vincent
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Oct 24th, 2019 - about 7 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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