Habibi, Suryah
Habibi, Suryah is an sole proprietor health care provider with primary practice located at 17542 Irvine Blvd Ste D , Tustin CA 92780-3155. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Habibi, Suryah can be contacted via phone (949) 282-7428.Contact Information
Primary practice address
17542 Irvine Blvd Ste D
Tustin CA 92780-3155
Phone: (949) 282-7428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 100863 | California |
Profile Details
| NPI number | 1346798311 |
|---|---|
| LBN Legal business name | Habibi, Suryah |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2016 |
| Last updated | Dec 27th, 2021 - about 5 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 | 1346798311 | NPPES |
| California | Other | 100863 | DENTIST |
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