Tahiree, Mitra

Tahiree, Mitra is an individual health care provider with primary practice located at 29264 Ariel St , Murrieta CA 92563-2737. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Tahiree, Mitra can be contacted via phone (951) 834-5888.

Contact Information

Primary practice address
29264 Ariel St Murrieta CA 92563-2737
Phone: (951) 834-5888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA56326 California

Profile Details

NPI number 1275078107
LBN Legal business name Tahiree, Mitra
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2017
Last updated Jan 2nd, 2017 - about 8 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 1275078107 NPPES
California MEDICAID RDA56326

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