Klufas, Lydia Ann

Klufas, Lydia Ann is an sole proprietor health care provider with primary practice located at 525 Broad St , Cumberland RI 02864-6919. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Klufas, Lydia Ann can be contacted via phone (401) 725-3707.

Contact Information

Primary practice address
525 Broad St Cumberland RI 02864-6919
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2202 Rhode Island

Profile Details

NPI number 1598891780
LBN Legal business name Klufas, Lydia Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2007
Last updated Jul 9th, 2007 - about 18 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 1598891780 NPPES
Rhode Island MEDICAID LK03955

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