Bergeron, Staci

Bergeron, Staci is an sole proprietor health care provider with primary practice located at 4330 Barranca Pkwy Ste 100 , Irvine CA 92604-4754. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bergeron, Staci can be contacted via phone (909) 489-0100.

Contact Information

Primary practice address
4330 Barranca Pkwy Ste 100 Irvine CA 92604-4754
Phone: (909) 489-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 21911 California

Profile Details

NPI number 1689927386
LBN Legal business name Bergeron, Staci
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2012
Last updated Oct 18th, 2012 - about 12 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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