Botello, Shahrazad La Mae
Botello, Shahrazad La Mae is an individual health care provider with primary practice located at 31 Area Dental Clinic Edson Range 310515 Phillips St. , Oceanside CA 92058. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Botello, Shahrazad La Mae can be contacted via phone (760) 224-1659.Contact Information
Primary practice address
31 Area Dental Clinic Edson Range 310515 Phillips St.
Oceanside CA 92058
Phone: (760) 224-1659
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | HAP803 | California |
Dental Providers / Dental Hygienist | 124Q00000X | RDH28089 | California |
Profile Details
NPI number | 1174279905 |
---|---|
LBN Legal business name | Botello, Shahrazad La Mae |
Credentials | RDH, RDHAP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2022 |
Last updated | Mar 2nd, 2022 - about 3 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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