Calleros, Sandra
Calleros, Sandra is an sole proprietor health care provider with primary practice located at 131 W Grand Ave Suite B, El Segundo CA 90245-3738. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Calleros, Sandra can be contacted via phone (310) 414-9564.Contact Information
Primary practice address
131 W Grand Ave Suite B
El Segundo CA 90245-3738
Phone: (310) 414-9564
Fax: (310) 414-9773
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 35478 | California |
Dental Providers / Dentist | 122300000X | 35478 | California |
Profile Details
NPI number | 1316940315 |
---|---|
LBN Legal business name | Calleros, Sandra |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 23rd, 2005 |
Last updated | Aug 19th, 2015 - about 9 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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