Cullampe, Washington
Cullampe, Washington is an sole proprietor health care provider with primary practice located at 2055 N Perris Blvd Ste E-12, Perris CA 92571-2509. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cullampe, Washington can be contacted via phone (951) 657-9965.Contact Information
Primary practice address
2055 N Perris Blvd Ste E-12
Perris CA 92571-2509
Phone: (951) 657-9965
Fax: (951) 657-6682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 49507 | California |
Profile Details
| NPI number | 1881738094 |
|---|---|
| LBN Legal business name | Cullampe, Washington |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Aug 2nd, 2011 - about 15 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 | 1881738094 | NPPES |
| California | Other | D49507 | DENTI-CAL |
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