Ponce, Monica Renee

Ponce, Monica Renee is an sole proprietor health care provider with primary practice located at 9450 W Russell Rd Ste 102 , Las Vegas NV 89148-5690. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ponce, Monica Renee can be contacted via phone (702) 570-3320.

Contact Information

Primary practice address
9450 W Russell Rd Ste 102 Las Vegas NV 89148-5690
Fax: (702) 570-3424
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3063 Nevada

Profile Details

NPI number 1174598882
LBN Legal business name Ponce, Monica Renee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Sep 29th, 2021 - about 4 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 1174598882 NPPES
Nevada MEDICAID 002202048

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