Arredondo, Nicole Gracella

Arredondo, Nicole Gracella is an individual health care provider with primary practice located at 1633 S Alameda St # A , Rancho Dominguez CA 90220-4976. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Arredondo, Nicole Gracella can be contacted via phone (310) 627-6500.

Contact Information

Primary practice address
1633 S Alameda St # A Rancho Dominguez CA 90220-4976
Phone: (310) 627-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA86440 California

Profile Details

NPI number 1275151367
LBN Legal business name Arredondo, Nicole Gracella
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2020
Last updated Jul 6th, 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 1275151367 NPPES
California MEDICAID RDA86440

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