Boche Martinez, Eileen

Boche Martinez, Eileen is an individual health care provider with primary practice located at 13754 Mimi Rd , Victorville CA 92392-5539. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Boche Martinez, Eileen can be contacted via phone (760) 684-5572.

Contact Information

Primary practice address
13754 Mimi Rd Victorville CA 92392-5539
Phone: (760) 684-5572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 90405 California

Profile Details

NPI number 1639757743
LBN Legal business name Boche Martinez, Eileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2021
Last updated Mar 30th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639757743 NPPES
California MEDICAID 90405

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