Fernan, Mylene Palencia

Fernan, Mylene Palencia is an individual health care provider with primary practice located at 12730 Hawthorne Blvd Suite D, Hawthorne CA 90250-3919. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Fernan, Mylene Palencia can be contacted via phone (310) 644-4000.

Contact Information

Primary practice address
12730 Hawthorne Blvd Suite D Hawthorne CA 90250-3919
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 38102 California

Profile Details

NPI number 1134408560
LBN Legal business name Fernan, Mylene Palencia
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Aug 16th, 2011 - about 13 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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