Mendoza, Ivan Yancarlo
Mendoza, Ivan Yancarlo is an sole proprietor health care provider with primary practice located at 178 Summer St , South Walpole MA 02071-1044. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mendoza, Ivan Yancarlo can be contacted via phone (305) 766-7626.Contact Information
Primary practice address
178 Summer St
South Walpole MA 02071-1044
Phone: (305) 766-7626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN1858166 | Massachusetts |
Profile Details
| NPI number | 1811467376 |
|---|---|
| LBN Legal business name | Mendoza, Ivan Yancarlo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2018 |
| Last updated | Nov 27th, 2018 - about 7 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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