Dequiroz, Paraon Nolasc

Dequiroz, Paraon Nolasc is an individual health care provider with primary practice located at 2503 Professional Pkwy , Santa Maria CA 93455-1657. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Dequiroz, Paraon Nolasc can be contacted via phone (805) 934-4500.

Contact Information

Primary practice address
2503 Professional Pkwy Santa Maria CA 93455-1657
Phone: (805) 934-4500
Fax: (805) 934-5263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DDS45242 California
Dental Providers / Dentist 122300000X 45242 California

Profile Details

NPI number 1801268883
LBN Legal business name Dequiroz, Paraon Nolasc
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Sep 20th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801268883 NPPES
California Other DDS45242 CA DENTAL LICENSE NUMBER

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