Espiritu, Domingo Lara
Espiritu, Domingo Lara is an sole proprietor health care provider with primary practice located at 180 Dow Ave , Iselin NJ 08830-1845. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Espiritu, Domingo Lara can be contacted via phone (732) 283-2242.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 036936 | New York |
Profile Details
| NPI number | 1821113176 |
|---|---|
| LBN Legal business name | Espiritu, Domingo Lara |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1821113176 | NPPES |
| New York | MEDICAID | 00731315 |
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