Gomez-Lewis, Deja Leticia

Gomez-Lewis, Deja Leticia is an individual health care provider with primary practice located at 4Th And Inner Loop Road Bldg 171, Fort Irwin CA 92310. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Gomez-Lewis, Deja Leticia can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
4Th And Inner Loop Road Bldg 171 Fort Irwin CA 92310
Phone: (719) 526-5537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1841813292
LBN Legal business name Gomez-Lewis, Deja Leticia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2020
Last updated May 20th, 2020 - about 5 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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