Maizares, Charlie Brian

Maizares, Charlie Brian is an individual health care provider with primary practice located at 3027 W Florida Ave , Hemet CA 92545-3617. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Maizares, Charlie Brian can be contacted via phone (951) 330-4618.

Contact Information

Primary practice address
3027 W Florida Ave Hemet CA 92545-3617
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 72458 California

Profile Details

NPI number 1992208946
LBN Legal business name Maizares, Charlie Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Mar 15th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992208946 NPPES
California MEDICAID 72458

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