Mendoza, Lidia A

Mendoza, Lidia A is an sole proprietor health care provider with primary practice located at 1511 W Holt Blvd Ste E , Ontario CA 91762-3657. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mendoza, Lidia A can be contacted via phone (909) 966-8877.

Contact Information

Primary practice address
1511 W Holt Blvd Ste E Ontario CA 91762-3657
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 42571 California
Dental Providers / General Practice 1223G0001X 42571 California

Profile Details

NPI number 1982667234
LBN Legal business name Mendoza, Lidia A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2006
Last updated Nov 7th, 2018 - about 6 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 1982667234 NPPES
California Other B42571-01 DENTI-CAL (PROVIDER NUMBE
California Other 330892867 DENTI-CAL (PROVIDER NUMBE

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