Usita, Villamor R.

Usita, Villamor R. is an individual health care provider with primary practice located at 11010 Foothill Blvd Ste. 120, Rancho Cucamonga CA 91730-7616. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Usita, Villamor R. can be contacted via phone (909) 481-8881.

Contact Information

Primary practice address
11010 Foothill Blvd Ste. 120 Rancho Cucamonga CA 91730-7616
Phone: (909) 481-8881
Fax: (909) 481-7722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 43504 California

Profile Details

NPI number 1366417859
LBN Legal business name Usita, Villamor R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366417859 NPPES
California Other B43504-01 DENTI-CAL PROVIDER NUMBER
California Other 1319695 DENTI-CAL PROVIDER NUMBER

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