Cruz, Mario A

Cruz, Mario A is an sole proprietor health care provider with primary practice located at 8829 Firestone Plz , South Gate CA 90280-2612. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Cruz, Mario A can be contacted via phone (323) 239-8062.

Contact Information

Primary practice address
8829 Firestone Plz South Gate CA 90280-2612
Phone: (323) 239-8062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA92366 California

Profile Details

NPI number 1124633292
LBN Legal business name Cruz, Mario A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2020
Last updated Sep 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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