De La Fuente Balboa, Javier

De La Fuente Balboa, Javier is an individual health care provider with primary practice located at 6060 Sw 62Nd Pl , South Miami FL 33143-2170. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. De La Fuente Balboa, Javier can be contacted via phone (786) 234-4280.

Contact Information

Primary practice address
6060 Sw 62Nd Pl South Miami FL 33143-2170
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN24411 Florida

Profile Details

NPI number 1053873851
LBN Legal business name De La Fuente Balboa, Javier
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Jul 3rd, 2024 - about 5 months 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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