Ventanilla, Oscar
Ventanilla, Oscar is an sole proprietor health care provider with primary practice located at 1580 E Washington St Suite # 105, Petaluma CA 94954-3679. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ventanilla, Oscar can be contacted via phone (707) 763-1959.Contact Information
Primary practice address
1580 E Washington St Suite # 105
Petaluma CA 94954-3679
Phone: (707) 763-1959
Fax: (707) 763-6381
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 53885 | California |
Profile Details
NPI number | 1952452609 |
---|---|
LBN Legal business name | Ventanilla, Oscar |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952452609 | NPPES |
California | Other | 53885 | LICENSE NUMBER |
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