Mijares, Ethel Cortez

Mijares, Ethel Cortez is an individual health care provider with primary practice located at Bldg 171, 4Th & Inner Loop Road , Fort Irwin CA 92310. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Mijares, Ethel Cortez can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
Bldg 171, 4Th & Inner Loop Road Fort Irwin CA 92310
Phone: (719) 526-5537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1982117180
LBN Legal business name Mijares, Ethel Cortez
Credentials DENTAL ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2017
Last updated Nov 9th, 2017 - about 8 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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