Soares, Beau Mckenzie
Soares, Beau Mckenzie is an sole proprietor health care provider with primary practice located at 500 S Anaheim Hills Rd Suite #222, Anaheim Hills CA 92807-4780. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Soares, Beau Mckenzie can be contacted via phone (714) 974-5906.Contact Information
Primary practice address
500 S Anaheim Hills Rd Suite #222
Anaheim Hills CA 92807-4780
Phone: (714) 974-5906
Fax: (714) 974-5982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 56076 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 56076 | California |
Profile Details
| NPI number | 1205018629 |
|---|---|
| LBN Legal business name | Soares, Beau Mckenzie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205018629 | NPPES |
| California | Other | 56076 | DENTAL LICENSE |
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