Pelaez, Magnolia M
Pelaez, Magnolia M is an sole proprietor health care provider with primary practice located at 1301 Atlantic Ave , Atlantic City NJ 08401-7247. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pelaez, Magnolia M can be contacted via phone (609) 572-0000.Contact Information
Primary practice address
1301 Atlantic Ave
Atlantic City NJ 08401-7247
Phone: (609) 572-0000
Fax: (609) 567-0039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI01796300 | New Jersey |
Profile Details
| NPI number | 1245293984 |
|---|---|
| LBN Legal business name | Pelaez, Magnolia M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 11th, 2007 - about 18 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 | 1245293984 | NPPES |
| New Jersey | MEDICAID | 0120278 |
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