Vidovich, Casey

Vidovich, Casey is an individual health care provider with primary practice located at 30575 Trabuco Canyon Rd Suite 106, Trabuco Canyon CA 92679-3034. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vidovich, Casey can be contacted via phone (949) 858-5147.

Contact Information

Primary practice address
30575 Trabuco Canyon Rd Suite 106 Trabuco Canyon CA 92679-3034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 63592 California

Profile Details

NPI number 1871901827
LBN Legal business name Vidovich, Casey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2014
Last updated Jul 22nd, 2014 - about 12 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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