Ebrahimian, Mark

Ebrahimian, Mark is an sole proprietor health care provider with primary practice located at 2112 Soquel Ave , Santa Cruz CA 95062-1401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ebrahimian, Mark can be contacted via phone (831) 458-3368.

Contact Information

Primary practice address
2112 Soquel Ave Santa Cruz CA 95062-1401
Phone: (831) 458-3368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30167 California

Profile Details

NPI number 1437288594
LBN Legal business name Ebrahimian, Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 19 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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