Heredia, David

Heredia, David is an individual health care provider with primary practice located at 1432 N G St Apt 4 , San Bernardino CA 92405-4342. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Heredia, David can be contacted via phone (909) 663-7331.

Contact Information

Primary practice address
1432 N G St Apt 4 San Bernardino CA 92405-4342
Phone: (909) 663-7331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1063645703
LBN Legal business name Heredia, David
Credentials ORAL SURGERY ASST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2009
Last updated Aug 28th, 2009 - about 16 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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