Kishibay, John S
Kishibay, John S is an individual health care provider with primary practice located at 2601 Ocean Park Blvd 304, Santa Monica CA 90405-5210. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kishibay, John S can be contacted via phone (310) 581-5757.Contact Information
Primary practice address
2601 Ocean Park Blvd 304
Santa Monica CA 90405-5210
Phone: (310) 581-5757
Fax: (310) 581-5759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 27778 | California |
Profile Details
| NPI number | 1255425609 |
|---|---|
| LBN Legal business name | Kishibay, John S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Dec 4th, 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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