Mino, Ronald
Mino, Ronald is an individual health care provider with primary practice located at 3855 Churn Creek Rd , Redding CA 96002-3229. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mino, Ronald can be contacted via phone (530) 223-4648.Contact Information
Primary practice address
3855 Churn Creek Rd
Redding CA 96002-3229
Phone: (530) 223-4648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28360 | California |
Profile Details
| NPI number | 1710972930 |
|---|---|
| LBN Legal business name | Mino, Ronald |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1710972930 | NPPES |
| California | Other | 28360 | CA STATE DENTAL LICENSE |
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