Montalvo, Carlos Santana

Montalvo, Carlos Santana is an sole proprietor health care provider with primary practice located at 2700 Adams Ave Ste 209 , San Diego CA 92116-1367. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is his primary health care specialty. Montalvo, Carlos Santana can be contacted via phone (619) 647-4599.

Contact Information

Primary practice address
2700 Adams Ave Ste 209 San Diego CA 92116-1367
Phone: (619) 647-4599
Fax: (888) 323-3119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X
Dental Providers / Dental Hygienist 124Q00000X 31862 California

Profile Details

NPI number 1114133113
LBN Legal business name Montalvo, Carlos Santana
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Nov 7th, 2022 - about 3 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 1114133113 NPPES
California Other 31862 BOARD OF DENTAL HYGIENE CALIFORNIA

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