Miramontes, Mauro

Miramontes, Mauro is an individual health care provider with primary practice located at 3380 La Sierra Ave , Riverside CA 92503-5271. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Miramontes, Mauro can be contacted via phone (951) 354-9999.

Contact Information

Primary practice address
3380 La Sierra Ave Riverside CA 92503-5271
Phone: (951) 354-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 79237 California

Profile Details

NPI number 1457897068
LBN Legal business name Miramontes, Mauro
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2017
Last updated Jan 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457897068 NPPES
California MEDICAID 79237

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