Machado, Jessica Phan

Machado, Jessica Phan is an sole proprietor health care provider with primary practice located at 3991 Grand Ave Ste D , Chino CA 91710-5442. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Machado, Jessica Phan can be contacted via phone (909) 591-0077.

Contact Information

Primary practice address
3991 Grand Ave Ste D Chino CA 91710-5442
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 65300 California

Profile Details

NPI number 1992223440
LBN Legal business name Machado, Jessica Phan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2017
Last updated Sep 5th, 2017 - about 8 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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