Salapong, Mary Jane De Leon

Salapong, Mary Jane De Leon is an individual health care provider with primary practice located at 2440 River Rd Ste 140 , Norco CA 92860-2402. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Salapong, Mary Jane De Leon can be contacted via phone (888) 904-3204.

Contact Information

Primary practice address
2440 River Rd Ste 140 Norco CA 92860-2402
Phone: (888) 904-3204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA58343 California

Profile Details

NPI number 1447748199
LBN Legal business name Salapong, Mary Jane De Leon
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2018
Last updated Apr 27th, 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 1447748199 NPPES
California MEDICAID RDA58343

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