Candelario, Ivan
Candelario, Ivan is an individual health care provider with primary practice located at 9909 Kenworthy St , El Paso TX 79924-4404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Candelario, Ivan can be contacted via phone (915) 755-7639.Contact Information
Primary practice address
9909 Kenworthy St
El Paso TX 79924-4404
Phone: (915) 755-7639
Fax: (915) 755-0060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2710 | Puerto Rico |
| Dental Providers / General Practice | 1223G0001X | 26346 | Texas |
Profile Details
| NPI number | 1831121714 |
|---|---|
| LBN Legal business name | Candelario, Ivan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Mar 18th, 2011 - about 13 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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