Gutierrez Solis, Daniel

Gutierrez Solis, Daniel is an individual health care provider with primary practice located at 5355 Kent Ave , Riverside CA 92503-2428. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Gutierrez Solis, Daniel can be contacted via phone (951) 675-8020.

Contact Information

Primary practice address
5355 Kent Ave Riverside CA 92503-2428
Phone: (951) 675-8020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 77894 California

Profile Details

NPI number 1093240665
LBN Legal business name Gutierrez Solis, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2017
Last updated Apr 20th, 2017 - about 8 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 1093240665 NPPES
California MEDICAID 77894

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