Carrillo Hernandez, Jose Efrain

Carrillo Hernandez, Jose Efrain is an individual health care provider with primary practice located at 58 West Court Woodland Family Dental, Woodland CA 95695. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Carrillo Hernandez, Jose Efrain can be contacted via phone (530) 668-5500.

Contact Information

Primary practice address
58 West Court Woodland Family Dental Woodland CA 95695
Fax: (530) 668-5508
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 51902 California

Profile Details

NPI number 1487737052
LBN Legal business name Carrillo Hernandez, Jose Efrain
Credentials DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487737052 NPPES
California Other D51902 DENTICAL

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