Quezada, Max J
Quezada, Max J is an sole proprietor health care provider with primary practice located at 3972 N Waterman Ave , San Bernardino CA 92404-1700. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Quezada, Max J can be contacted via phone (951) 264-1733.Contact Information
Primary practice address
3972 N Waterman Ave
San Bernardino CA 92404-1700
Phone: (951) 264-1733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 25441 | California |
Profile Details
| NPI number | 1265601256 |
|---|---|
| LBN Legal business name | Quezada, Max J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Dec 21st, 2022 - about 3 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 | 1265601256 | NPPES |
| California | Other | 25441 | CA DENTAL LICENSE # |
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