Henriquez, Kelly Loraine

Henriquez, Kelly Loraine is an individual health care provider with primary practice located at 883 W March Ln , Stockton CA 95207. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Henriquez, Kelly Loraine can be contacted via phone (209) 636-5555.

Contact Information

Primary practice address
883 W March Ln Stockton CA 95207
Phone: (209) 636-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 34146 California

Profile Details

NPI number 1174282123
LBN Legal business name Henriquez, Kelly Loraine
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2021
Last updated Dec 20th, 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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