Mendivil, Guy William

Mendivil, Guy William is an sole proprietor health care provider with primary practice located at 11901 Bolthouse Dr Ste 200 , Bakersfield CA 93311-8456. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mendivil, Guy William can be contacted via phone (661) 323-5910.

Contact Information

Primary practice address
11901 Bolthouse Dr Ste 200 Bakersfield CA 93311-8456
Phone: (661) 323-5910
Fax: (661) 323-5911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D29737 California

Profile Details

NPI number 1912054271
LBN Legal business name Mendivil, Guy William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jan 2nd, 2024 - about 11 months 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 1912054271 NPPES
California Other D629737 DELTA DENTAL PREFIX ID
California MEDICAID G93914-01 DELTA DENTAL PREFIX ID
California MEDICAID CGP170062 DELTA DENTAL PREFIX ID

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