Santos, Mary Jade Gueco

Santos, Mary Jade Gueco is an individual health care provider with primary practice located at 24565 Town Center Dr Apt 8418 , Valencia CA 91355-0822. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Santos, Mary Jade Gueco can be contacted via phone (818) 415-0910.

Contact Information

Primary practice address
24565 Town Center Dr Apt 8418 Valencia CA 91355-0822
Phone: (818) 415-0910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA46008 California

Profile Details

NPI number 1881243137
LBN Legal business name Santos, Mary Jade Gueco
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2019
Last updated Sep 10th, 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 1881243137 NPPES
California MEDICAID RDA46008

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