Sue, Stephanie Liane

Sue, Stephanie Liane is an individual health care provider with primary practice located at 2277 Michael Dr Ste 2 , Newbury Park CA 91320-3263. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Sue, Stephanie Liane can be contacted via phone (805) 498-2802.

Contact Information

Primary practice address
2277 Michael Dr Ste 2 Newbury Park CA 91320-3263
Phone: (805) 498-2802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DDS105961 California

Profile Details

NPI number 1386103521
LBN Legal business name Sue, Stephanie Liane
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated May 24th, 2022 - about 4 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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