Antolin, Sayra Maria

Antolin, Sayra Maria is an individual health care provider with primary practice located at 11635 South St , Artesia CA 90701-6628. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Antolin, Sayra Maria can be contacted via phone (562) 924-4401.

Contact Information

Primary practice address
11635 South St Artesia CA 90701-6628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 93134 California

Profile Details

NPI number 1891301909
LBN Legal business name Antolin, Sayra Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2020
Last updated Sep 23rd, 2020 - about 5 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 1891301909 NPPES
California MEDICAID 93134

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