Aquino, Editha Mendoza

Aquino, Editha Mendoza is an individual health care provider with primary practice located at 2600 Springs Rd , Vallejo CA 94591-5713. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Aquino, Editha Mendoza can be contacted via phone (707) 642-3711.

Contact Information

Primary practice address
2600 Springs Rd Vallejo CA 94591-5713
Phone: (707) 642-3711
Fax: (707) 556-9237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033057 California

Profile Details

NPI number 1780666115
LBN Legal business name Aquino, Editha Mendoza
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 6th, 2013 - about 11 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 1780666115 NPPES
California Other B33057-01 MEDI-CAL PROVIDER NUMBER

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