Azevedo, Diann Marie
Azevedo, Diann Marie is an sole proprietor health care provider with primary practice located at 5875 Pacific Street C-1, Rocklin CA 95677-3146. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Azevedo, Diann Marie can be contacted via phone (916) 632-2554.Contact Information
Primary practice address
5875 Pacific Street C-1
Rocklin CA 95677-3146
Phone: (916) 632-2554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | HAP 15 | California |
Profile Details
| NPI number | 1134332174 |
|---|---|
| LBN Legal business name | Azevedo, Diann Marie |
| Credentials | DIANN AZEVEDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2007 |
| Last updated | Nov 4th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134332174 | NPPES |
| California | Other | HO9342 | DENTICAL |
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