Costa, Gina

Costa, Gina is an sole proprietor health care provider with primary practice located at 763 Rio Rancho Rd , Pomona CA 91766-7015. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Costa, Gina can be contacted via phone (949) 338-6424.

Contact Information

Primary practice address
763 Rio Rancho Rd Pomona CA 91766-7015
Phone: (949) 338-6424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 44849 California

Profile Details

NPI number 1063034734
LBN Legal business name Costa, Gina
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2020
Last updated May 15th, 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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