Ida, Rodney
Ida, Rodney is an sole proprietor health care provider with primary practice located at 17542 Irvine Blvd Suite # A, Tustin CA 92780-3155. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Ida, Rodney can be contacted via phone (714) 547-8494.Contact Information
Primary practice address
17542 Irvine Blvd Suite # A
Tustin CA 92780-3155
Phone: (714) 547-8494
Fax: (714) 547-3448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 36250 | California |
| Dental Providers / Endodontics | 1223E0200X | CA36250 | California |
Profile Details
| NPI number | 1649695537 |
|---|---|
| LBN Legal business name | Ida, Rodney |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2014 |
| Last updated | Jul 21st, 2022 - about 2 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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