Olivera, Paul

Olivera, Paul is an sole proprietor health care provider with primary practice located at 450 W San Jose Ave , Claremont CA 91711-5404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Olivera, Paul can be contacted via phone (909) 626-1292.

Contact Information

Primary practice address
450 W San Jose Ave Claremont CA 91711-5404
Fax: (909) 626-8193
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 31112 California

Profile Details

NPI number 1972654812
LBN Legal business name Olivera, Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1972654812 NPPES
California Other B3111201 MEDI-CAL

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