Cuellar, Iliana

Cuellar, Iliana is an sole proprietor health care provider with primary practice located at 1063 North D Street , San Bernardino CA 92410. 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. Cuellar, Iliana can be contacted via phone (323) 582-5411.

Contact Information

Primary practice address
1063 North D Street San Bernardino CA 92410
Phone: (323) 582-5411
Fax: (323) 582-5568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 50235 California
Dental Providers / General Practice 1223G0001X DDS50235 California

Profile Details

NPI number 1134270606
LBN Legal business name Cuellar, Iliana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Feb 7th, 2024 - about last year

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 1134270606 NPPES
California MEDICAID G92919-01

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