Freire, Marcelo

Freire, Marcelo is an sole proprietor health care provider with primary practice located at 4120 Capricorn Ln , La Jolla CA 92037-3498. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Periodontics is his primary health care specialty. Freire, Marcelo can be contacted via phone (858) 200-1846.

Contact Information

Primary practice address
4120 Capricorn Ln La Jolla CA 92037-3498
Phone: (858) 200-1846
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 103604 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X DL11672 Massachusetts

Profile Details

NPI number 1013264357
LBN Legal business name Freire, Marcelo
Credentials D.D.S.,PH.D., D.MED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2012
Last updated Nov 29th, 2022 - about 2 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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