Chacko, Reny
Chacko, Reny is an individual health care provider with primary practice located at 709 Center Dr Ste 101 , San Marcos CA 92069-2502. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Chacko, Reny can be contacted via phone (760) 746-2045.Contact Information
Primary practice address
709 Center Dr Ste 101
San Marcos CA 92069-2502
Phone: (760) 746-2045
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DDS58470 | California |
Dental Providers / General Practice | 1223G0001X | DDS58470 | California |
Profile Details
NPI number | 1013069996 |
---|---|
LBN Legal business name | Chacko, Reny |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Mar 3rd, 2020 - about 5 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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