Martin, David R

Martin, David R is an sole proprietor health care provider with primary practice located at 1418 W 25Th St , San Pedro CA 90732-4418. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, David R can be contacted via phone (310) 547-4413.

Contact Information

Primary practice address
1418 W 25Th St San Pedro CA 90732-4418
Phone: (310) 547-4413
Fax: (310) 547-1443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 24141 California

Profile Details

NPI number 1487721825
LBN Legal business name Martin, David R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487721825 NPPES
California Other B24141-01 DENTI-CAL
California Other 782565 DENTI-CAL

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