Avila, Carle Stephanie

Avila, Carle Stephanie is an individual health care provider with primary practice located at 17047 E Bygrove St , Covina CA 91722-1208. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Avila, Carle Stephanie can be contacted via phone (626) 991-0342.

Contact Information

Primary practice address
17047 E Bygrove St Covina CA 91722-1208
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 95027 California

Profile Details

NPI number 1821663485
LBN Legal business name Avila, Carle Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2021
Last updated May 25th, 2021 - about 4 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 1821663485 NPPES
California MEDICAID 95027

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