Pena Moreno, Berenice

Pena Moreno, Berenice is an individual health care provider with primary practice located at 535 Bodega Ct , Merced CA 95340-0714. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Pena Moreno, Berenice can be contacted via phone (209) 928-5400.

Contact Information

Primary practice address
535 Bodega Ct Merced CA 95340-0714
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 34551 California

Profile Details

NPI number 1730893223
LBN Legal business name Pena Moreno, Berenice
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2023
Last updated Jan 9th, 2023 - about 2 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 1730893223 NPPES
California Other 1124286885 ORGANIZATION

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