Freckelton, Virginia Lee

Freckelton, Virginia Lee is an individual health care provider with primary practice located at 115 Duane St , Redwood City CA 94062-1614. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Freckelton, Virginia Lee can be contacted via phone (650) 366-7781.

Contact Information

Primary practice address
115 Duane St Redwood City CA 94062-1614
Phone: (650) 366-7781
Fax: (650) 368-5582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31785 California

Profile Details

NPI number 1245239458
LBN Legal business name Freckelton, Virginia Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1245239458 NPPES
California Other 31785 DENTAL BOARD

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