Carvalho, Marissa Margaret

Carvalho, Marissa Margaret is an sole proprietor health care provider with primary practice located at 1701 W Imperial Hwy Ste B , La Habra CA 90631-0604. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Carvalho, Marissa Margaret can be contacted via phone (562) 690-5729.

Contact Information

Primary practice address
1701 W Imperial Hwy Ste B La Habra CA 90631-0604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DDS105922 California

Profile Details

NPI number 1487111571
LBN Legal business name Carvalho, Marissa Margaret
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2019
Last updated Feb 17th, 2022 - about 2 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 1487111571 NPPES
Maryland MEDICAID 119591300

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