Martinez, Miguel Angel

Martinez, Miguel Angel is an sole proprietor health care provider with primary practice located at 18355 Stallion Ln 18355 Stallion Ln, Bloomington CA 92316-3142. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Martinez, Miguel Angel can be contacted via phone (909) 644-2531.

Contact Information

Primary practice address
18355 Stallion Ln 18355 Stallion Ln Bloomington CA 92316-3142
Phone: (909) 644-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 460325 California

Profile Details

NPI number 1720312143
LBN Legal business name Martinez, Miguel Angel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2009
Last updated Oct 1st, 2009 - about 16 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 1720312143 NPPES
California Other 460325 DA CERIFICATE

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