Kostlan, Ernest Lynn
Kostlan, Ernest Lynn is an individual health care provider with primary practice located at 275 Victoria 2E, Costa Mesa CA 92627. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kostlan, Ernest Lynn can be contacted via phone (949) 631-1420.Contact Information
Primary practice address
275 Victoria 2E
Costa Mesa CA 92627
Phone: (949) 631-1420
Fax: (949) 548-8844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11804 | California |
Profile Details
| NPI number | 1912120684 |
|---|---|
| LBN Legal business name | Kostlan, Ernest Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912120684 | NPPES |
| California | Other | B1180401 | DENTICAL |
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