Gildea, Lisa

Gildea, Lisa is an sole proprietor health care provider with primary practice located at 701 E Channel St , Stockton CA 95202-2628. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gildea, Lisa can be contacted via phone (209) 601-5705.

Contact Information

Primary practice address
701 E Channel St Stockton CA 95202-2628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X HAP748 California

Profile Details

NPI number 1376175265
LBN Legal business name Gildea, Lisa
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2020
Last updated May 23rd, 2024 - about last year

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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