Van Bergen, Michel Laurentius

Van Bergen, Michel Laurentius is an sole proprietor health care provider with primary practice located at 450 Sutter St Suite 1932, San Francisco CA 94108-4206. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Van Bergen, Michel Laurentius can be contacted via phone (415) 986-7655.

Contact Information

Primary practice address
450 Sutter St Suite 1932 San Francisco CA 94108-4206
Phone: (415) 986-7655
Fax: (415) 986-6967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 30874 California

Profile Details

NPI number 1528256922
LBN Legal business name Van Bergen, Michel Laurentius
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 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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