Babol-Banez, Georgina
Babol-Banez, Georgina is an sole proprietor health care provider with primary practice located at 923 N Sunset Ave , West Covina CA 91790-1244. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Babol-Banez, Georgina can be contacted via phone (626) 813-1767.Contact Information
Primary practice address
923 N Sunset Ave
West Covina CA 91790-1244
Phone: (626) 813-1767
Fax: (626) 813-1735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 39369 | California |
Profile Details
| NPI number | 1891848628 |
|---|---|
| LBN Legal business name | Babol-Banez, Georgina |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 29th, 2009 - about 15 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 | 1891848628 | NPPES |
| California | MEDICAID | B39369-01 | |
| California | Other | 954810444 |
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