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
Phone: (909) 966-8877
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982667234 | NPPES |
California | Other | B42571-01 | DENTI-CAL (PROVIDER NUMBE |
California | Other | 330892867 | DENTI-CAL (PROVIDER NUMBE |
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