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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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