Dana, Enietra
Dana, Enietra is an individual health care provider with primary practice located at 12121 Wilshire Blvd Ste 1111 , Los Angeles CA 90025-1188. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Dana, Enietra can be contacted via phone (310) 820-9933.Contact Information
Primary practice address
12121 Wilshire Blvd Ste 1111
Los Angeles CA 90025-1188
Phone: (310) 820-9933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 89255 | California |
Profile Details
| NPI number | 1962076711 |
|---|---|
| LBN Legal business name | Dana, Enietra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2021 |
| Last updated | May 17th, 2021 - about 4 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 | 1962076711 | NPPES |
| California | MEDICAID | 89255 |
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