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
Phone: (562) 690-5729
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487111571 | NPPES |
| Maryland | MEDICAID | 119591300 |
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