Kavanagh, John Richard
Kavanagh, John Richard is an sole proprietor health care provider with primary practice located at 3731 Tibbetts St Suite 10, Riverside CA 92506-2604. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kavanagh, John Richard can be contacted via phone (951) 683-4790.Contact Information
Primary practice address
3731 Tibbetts St Suite 10
Riverside CA 92506-2604
Phone: (951) 683-4790
Fax: (951) 683-4795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 48478 | California |
Profile Details
| NPI number | 1689755837 |
|---|---|
| LBN Legal business name | Kavanagh, John Richard |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Dec 12th, 2012 - about 14 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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