Mena, Jose Raul

Mena, Jose Raul is an individual health care provider with primary practice located at 877 S Boulder Rd , Louisville CO 80027-1345. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mena, Jose Raul can be contacted via phone (303) 665-8228.

Contact Information

Primary practice address
877 S Boulder Rd Louisville CO 80027-1345
Phone: (303) 665-8228
Fax: (303) 665-8994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9252 Colorado

Profile Details

NPI number 1497929087
LBN Legal business name Mena, Jose Raul
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Apr 15th, 2008 - 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 1497929087 NPPES
Colorado MEDICAID 40673511

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