Barradas, Mark Anthony
Barradas, Mark Anthony is an sole proprietor health care provider with primary practice located at 1135 Mission Rd Suite #101, South San Francisco CA 94080-1393. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Barradas, Mark Anthony can be contacted via phone (650) 589-4600.Contact Information
Primary practice address
1135 Mission Rd Suite #101
South San Francisco CA 94080-1393
Phone: (650) 589-4600
Fax: (650) 589-4602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 34667 | California |
Profile Details
| NPI number | 1962513143 |
|---|---|
| LBN Legal business name | Barradas, Mark Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| 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 | 1962513143 | NPPES |
| California | Other | B 34667-01 | DENTICAL |
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