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
Fax: (714) 974-5982
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205018629 NPPES
California Other 56076 DENTAL LICENSE

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