Medina, Yessenia Socorro

Medina, Yessenia Socorro is an individual health care provider with primary practice located at 104 N Robin Privado , Ontario CA 91764. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Medina, Yessenia Socorro can be contacted via phone (909) 455-3182.

Contact Information

Primary practice address
104 N Robin Privado Ontario CA 91764
Phone: (909) 455-3182
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 67920 California

Profile Details

NPI number 1619245685
LBN Legal business name Medina, Yessenia Socorro
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2011
Last updated Dec 6th, 2011 - about 14 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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