Real-Raz, Susan R

Real-Raz, Susan R is an sole proprietor health care provider with primary practice located at 12725 Perris Blvd , Moreno Valley CA 92553-4110. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Real-Raz, Susan R can be contacted via phone (951) 486-0119.

Contact Information

Primary practice address
12725 Perris Blvd Moreno Valley CA 92553-4110
Fax: (951) 486-9143
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42402 California

Profile Details

NPI number 1679624902
LBN Legal business name Real-Raz, Susan R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Feb 12th, 2020 - 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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