Juarez, Savannah
Juarez, Savannah is an individual health care provider with primary practice located at 3380 La Sierra Ave Ste 108 , Riverside CA 92503-5225. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Juarez, Savannah can be contacted via phone (424) 209-4684.Contact Information
Primary practice address
3380 La Sierra Ave Ste 108
Riverside CA 92503-5225
Phone: (424) 209-4684
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1215533104 |
|---|---|
| LBN Legal business name | Juarez, Savannah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2020 |
| Last updated | Dec 7th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215533104 | NPPES |
| California | MEDICAID | 33357 |
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