Lauria, Bethany Icel Antonio

Lauria, Bethany Icel Antonio is an individual health care provider with primary practice located at 13450 S. Hawthorne Blvd , Hawthorne CA 90250-5806. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Lauria, Bethany Icel Antonio can be contacted via phone (310) 679-0106.

Contact Information

Primary practice address
13450 S. Hawthorne Blvd Hawthorne CA 90250-5806
Phone: (310) 679-0106
Fax: (310) 679-6698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH-31592 California

Profile Details

NPI number 1447881875
LBN Legal business name Lauria, Bethany Icel Antonio
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2020
Last updated Feb 4th, 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.

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