Candelaria, Lionel Michael

Candelaria, Lionel Michael is an individual health care provider with primary practice located at 7308 Wadi Musa Dr Ne , Albuquerque NM 87122-3346. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Candelaria, Lionel Michael can be contacted via phone (505) 321-8291.

Contact Information

Primary practice address
7308 Wadi Musa Dr Ne Albuquerque NM 87122-3346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DD1894 New Mexico

Profile Details

NPI number 1750359618
LBN Legal business name Candelaria, Lionel Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 11th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750359618 NPPES
New Mexico Other NM100139 MEDICARE PTAN

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