Carr, Diana Lynn

Carr, Diana Lynn is an sole proprietor health care provider with primary practice located at 141 Lang St , San Juan Bautista CA 95045-9400. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Carr, Diana Lynn can be contacted via phone (831) 623-4585.

Contact Information

Primary practice address
141 Lang St San Juan Bautista CA 95045-9400
Fax: (831) 623-4350
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X HAP00135 California

Profile Details

NPI number 1528102134
LBN Legal business name Carr, Diana Lynn
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1528102134 NPPES
California Other H00135-01 DENTI-CAL ID NO
California Other 167101 DENTI-CAL ID NO

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