Lara, Wendy Lynn
Lara, Wendy Lynn is an individual health care provider with primary practice located at 3932 Fort Blvd , El Paso TX 79930-6208. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lara, Wendy Lynn can be contacted via phone (915) 566-9415.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30661 | Texas |
| Dental Providers / General Practice | 1223G0001X | DD2498 | New Mexico |
Profile Details
| NPI number | 1821094228 |
|---|---|
| LBN Legal business name | Lara, Wendy Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1821094228 | NPPES |
| New Mexico | MEDICAID | 46327771 |
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