Carbajal, M Zaida

Carbajal, M Zaida is an sole proprietor health care provider with primary practice located at 611 N Euclid Ave , Ontario CA 91762-3223. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Carbajal, M Zaida can be contacted via phone (909) 235-4148.

Contact Information

Primary practice address
611 N Euclid Ave Ontario CA 91762-3223
Fax: (909) 235-4636
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 41065 California

Profile Details

NPI number 1194777532
LBN Legal business name Carbajal, M Zaida
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Jul 11th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194777532 NPPES
California MEDICAID B41065-01

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