Myatt, Richard Glenn

Myatt, Richard Glenn is an sole proprietor health care provider with primary practice located at 31737 Riverside Dr Suite B, Lake Elsinore CA 92530-7890. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Myatt, Richard Glenn can be contacted via phone (951) 674-8707.

Contact Information

Primary practice address
31737 Riverside Dr Suite B Lake Elsinore CA 92530-7890
Fax: (951) 245-1217
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17975 California

Profile Details

NPI number 1942370887
LBN Legal business name Myatt, Richard Glenn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
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.

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