Ky, Sean T

Ky, Sean T is an sole proprietor health care provider with primary practice located at 3858 E Colorado Blvd , Pasadena CA 91107-3940. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ky, Sean T can be contacted via phone (626) 795-4251.

Contact Information

Primary practice address
3858 E Colorado Blvd Pasadena CA 91107-3940
Phone: (626) 795-4251
Fax: (626) 795-3562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 45481 California

Profile Details

NPI number 1821052861
LBN Legal business name Ky, Sean T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Oct 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821052861 NPPES
California Other 1323676 UNITED CONCORDIA INS
California Other B45481 UNITED CONCORDIA INS
California MEDICAID G93499 UNITED CONCORDIA INS

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