Godinez, Mario A
Godinez, Mario A is an sole proprietor health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Godinez, Mario A can be contacted via phone (760) 736-6767.Contact Information
Primary practice address
150 Valpreda Rd
San Marcos CA 92069-2973
Phone: (760) 736-6767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 48807 | California |
Profile Details
| NPI number | 1609089416 |
|---|---|
| LBN Legal business name | Godinez, Mario A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Apr 8th, 2022 - about 3 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 | 1609089416 | NPPES |
| California | Other | 48807 | STATE LICENSE NUMBER |
| California | Other | 203185082 | STATE LICENSE NUMBER |
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