Staley, Philip Keller
Staley, Philip Keller is an individual health care provider with primary practice located at 21297 Foothill Blvd # 204, Hayward CA 94541. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Staley, Philip Keller can be contacted via phone (510) 582-1757.Contact Information
Primary practice address
21297 Foothill Blvd # 204
Hayward CA 94541
Phone: (510) 582-1757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | CA19533 | California |
Profile Details
| NPI number | 1326135625 |
|---|---|
| LBN Legal business name | Staley, Philip Keller |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 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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