Quidera, Alicia Huizar

Quidera, Alicia Huizar is an individual health care provider with primary practice located at 1835 Ximeno Ave , Long Beach CA 90815-2850. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Quidera, Alicia Huizar can be contacted via phone (562) 453-3409.

Contact Information

Primary practice address
1835 Ximeno Ave Long Beach CA 90815-2850
Phone: (562) 453-3409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA37294 California

Profile Details

NPI number 1215439468
LBN Legal business name Quidera, Alicia Huizar
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2018
Last updated Mar 4th, 2018 - about 7 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 1215439468 NPPES
California MEDICAID RDA37294

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