Diaz, Dominique
Diaz, Dominique is an sole proprietor health care provider with primary practice located at 1127 Wilshire Blvd Ste 1504 , Los Angeles CA 90017-4006. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Diaz, Dominique can be contacted via phone (213) 201-1388.Contact Information
Primary practice address
1127 Wilshire Blvd Ste 1504
Los Angeles CA 90017-4006
Phone: (213) 201-1388
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 25511 | California |
Profile Details
| NPI number | 1831596816 |
|---|---|
| LBN Legal business name | Diaz, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Nov 19th, 2014 - about 11 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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