Briseno, Carlos A

Briseno, Carlos A is an sole proprietor health care provider with primary practice located at 1705 W Main St , Mesa AZ 85201-6920. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Briseno, Carlos A can be contacted via phone (623) 583-3001.

Contact Information

Primary practice address
1705 W Main St Mesa AZ 85201-6920
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H05153 Arizona

Profile Details

NPI number 1417573577
LBN Legal business name Briseno, Carlos A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 2020 - about 5 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.

Request for update

Popular Providers