Basulto, Lourdes

Basulto, Lourdes is an sole proprietor health care provider with primary practice located at 4410 W 16Th Ave Ste 52 , Hialeah FL 33012-7193. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Basulto, Lourdes can be contacted via phone (305) 825-9899.

Contact Information

Primary practice address
4410 W 16Th Ave Ste 52 Hialeah FL 33012-7193
Fax: (305) 825-9858
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X DR134398 Florida

Profile Details

NPI number 1942835574
LBN Legal business name Basulto, Lourdes
Credentials D.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2020
Last updated Mar 4th, 2020 - about 5 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.

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