Kotrob, Moutaz

Kotrob, Moutaz is an sole proprietor health care provider with primary practice located at 1133 El Camino Real Ste 5 # B -304, South San Francisco CA 94080-3288. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kotrob, Moutaz can be contacted via phone (650) 244-9928.

Contact Information

Primary practice address
1133 El Camino Real Ste 5 # B -304 South San Francisco CA 94080-3288
Phone: (650) 244-9928
Fax: (650) 244-9284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 55981 California

Profile Details

NPI number 1043406283
LBN Legal business name Kotrob, Moutaz
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2007
Last updated Mar 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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