Reyes Colin, Brandon

Reyes Colin, Brandon is an individual health care provider with primary practice located at 2440 River Rd Ste 140 , Norco CA 92860-2402. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Reyes Colin, Brandon can be contacted via phone (951) 225-1783.

Contact Information

Primary practice address
2440 River Rd Ste 140 Norco CA 92860-2402
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA90918 California

Profile Details

NPI number 1487207510
LBN Legal business name Reyes Colin, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - about 6 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 1487207510 NPPES
California MEDICAID RDA90918

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