Nakayama, Wayne Tetsuo
Nakayama, Wayne Tetsuo is an sole proprietor health care provider with primary practice located at 4514 S Centinela Ave , Los Angeles CA 90066-6206. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nakayama, Wayne Tetsuo can be contacted via phone (310) 397-6719.Contact Information
Primary practice address
4514 S Centinela Ave
Los Angeles CA 90066-6206
Phone: (310) 397-6719
Fax: (310) 397-2069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 24841 | California |
Profile Details
| NPI number | 1053391193 |
|---|---|
| LBN Legal business name | Nakayama, Wayne Tetsuo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Feb 14th, 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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