Aguas, Gerard Raymond Perez

Aguas, Gerard Raymond Perez is an individual health care provider with primary practice located at 1140 E Chevy Chase Dr , Glendale CA 91205-2511. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Aguas, Gerard Raymond Perez can be contacted via phone (818) 247-3387.

Contact Information

Primary practice address
1140 E Chevy Chase Dr Glendale CA 91205-2511
Phone: (818) 247-3387
Fax: (818) 247-2680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49262 California

Profile Details

NPI number 1487773594
LBN Legal business name Aguas, Gerard Raymond Perez
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487773594 NPPES
California Other D-49262 MEDI-CAL RENDERING PROVID

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