Bourgeois, Susan Lara
Bourgeois, Susan Lara is an individual health care provider with primary practice located at 3801 Miranda Ave , Palo Alto CA 94304-1207. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bourgeois, Susan Lara can be contacted via phone (650) 493-5000.Contact Information
Primary practice address
3801 Miranda Ave
Palo Alto CA 94304-1207
Phone: (650) 493-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 33591 | California |
Profile Details
| NPI number | 1427172451 |
|---|---|
| LBN Legal business name | Bourgeois, Susan Lara |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| 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.
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