Ballet, Lourdes V.
Ballet, Lourdes V. is an sole proprietor health care provider with primary practice located at 1857 Providence Blvd , Deltona FL 32725-3811. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ballet, Lourdes V. can be contacted via phone (321) 283-2850.Contact Information
Primary practice address
1857 Providence Blvd
Deltona FL 32725-3811
Phone: (321) 283-2850
Fax: (386) 951-4809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN16520 | Florida |
Profile Details
| NPI number | 1255517850 |
|---|---|
| LBN Legal business name | Ballet, Lourdes V. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Jan 14th, 2008 - about 16 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 | 1255517850 | NPPES |
| Florida | Other | 421713899 | TAX IDENTIFICATION NUMBER |
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