Benaderet, Theodore
Benaderet, Theodore is an sole proprietor health care provider with primary practice located at 9900 Mcfadden Ave Ste 201 , Westminster CA 92683-6978. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Benaderet, Theodore can be contacted via phone (714) 531-2513.Contact Information
Primary practice address
9900 Mcfadden Ave Ste 201
Westminster CA 92683-6978
Phone: (714) 531-2513
Fax: (714) 531-1603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 18786 | California |
Profile Details
NPI number | 1124194394 |
---|---|
LBN Legal business name | Benaderet, Theodore |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 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 | 1124194394 | NPPES |
California | Other | B18786-01 | MEDI-CAL (CALIFORNIA) |
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