Guillen, Martin Marcos

Guillen, Martin Marcos is an individual health care provider with primary practice located at 1025 W Avenue K Ste 105 , Lancaster CA 93534-6429. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Guillen, Martin Marcos can be contacted via phone (310) 409-9933.

Contact Information

Primary practice address
1025 W Avenue K Ste 105 Lancaster CA 93534-6429
Phone: (310) 409-9933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1417549486
LBN Legal business name Guillen, Martin Marcos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417549486 NPPES
California MEDICAID A66691

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