Massey, Lisa Allen
Massey, Lisa Allen is an individual health care provider with primary practice located at 1205 Renaissance Pkwy Ste 240 , Rialto CA 92376-2418. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Massey, Lisa Allen can be contacted via phone (714) 942-4161.Contact Information
Primary practice address
1205 Renaissance Pkwy Ste 240
Rialto CA 92376-2418
Phone: (714) 942-4161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 73043 | California |
Profile Details
| NPI number | 1235704503 |
|---|---|
| LBN Legal business name | Massey, Lisa Allen |
| Credentials | Registered Dental Assistant (RDA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2021 |
| Last updated | May 20th, 2021 - about 4 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 | 1235704503 | NPPES |
| California | Other | 73043 | REGISTERED DENTAL ASSISTANT |
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