Baltazar, William C
Baltazar, William C is an sole proprietor health care provider with primary practice located at 702 W Arapaho Rd Suite 108, Richardson TX 75080-4154. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Baltazar, William C can be contacted via phone (972) 470-0236.Contact Information
Primary practice address
702 W Arapaho Rd Suite 108
Richardson TX 75080-4154
Phone: (972) 470-0236
Fax: (972) 644-4068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19676 | Texas |
Profile Details
| NPI number | 1639389158 |
|---|---|
| LBN Legal business name | Baltazar, William C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1639389158 | NPPES |
| Texas | Other | 19676 | TX.LIC.NO. |
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