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
Fax: (707) 763-6381
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952452609 NPPES
California Other 53885 LICENSE NUMBER

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