Aviles, Jeannette Lisa
Aviles, Jeannette Lisa is an sole proprietor health care provider with primary practice located at 11198 Terra Vista Pkwy Apt 112 , Rancho Cucamonga CA 91730-7422. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Aviles, Jeannette Lisa can be contacted via phone (909) 279-8558.Contact Information
Primary practice address
11198 Terra Vista Pkwy Apt 112
Rancho Cucamonga CA 91730-7422
Phone: (909) 279-8558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 21920 | California |
Profile Details
| NPI number | 1740770247 |
|---|---|
| LBN Legal business name | Aviles, Jeannette Lisa |
| Credentials | RDHAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2018 |
| Last updated | May 10th, 2018 - about 7 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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