Hernandez Avalos, Miguel Alejandro

Hernandez Avalos, Miguel Alejandro is an sole proprietor health care provider with primary practice located at 30423 Canwood St Ste 121 , Agoura Hills CA 91301-4314. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hernandez Avalos, Miguel Alejandro can be contacted via phone (818) 889-4220.

Contact Information

Primary practice address
30423 Canwood St Ste 121 Agoura Hills CA 91301-4314
Phone: (818) 889-4220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 107494 California

Profile Details

NPI number 1861119059
LBN Legal business name Hernandez Avalos, Miguel Alejandro
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2022
Last updated Oct 27th, 2022 - about 3 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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