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Contact Information

PETER KORN, RDHAP
11135 ROSEMARY DR
AUBURN, CA95603-5945
 Phone: 530-906-7609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Dental Therapist

125K00000X
Indicates primary specialty

NPI Profile & details for PETER KORN · (Male)

NPI # 1598314023
Status Active
Credentials RDHAP
Entity Individual
Enumeration date 09/06/2019
Last updated 09/06/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 757
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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