Mata, Jaime
Mata, Jaime is an sole proprietor health care provider with primary practice located at 3620 S Bristol St Ste.306, Santa Ana CA 92704-7300. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mata, Jaime can be contacted via phone (714) 556-5156.Contact Information
Primary practice address
3620 S Bristol St Ste.306
Santa Ana CA 92704-7300
Phone: (714) 556-5156
Fax: (714) 556-5151
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 30612 | California |
Profile Details
NPI number | 1780885616 |
---|---|
LBN Legal business name | Mata, Jaime |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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