Vidales, Beatriz

Vidales, Beatriz is an individual health care provider with primary practice located at 725 N Quince St 101, Escondido CA 92025-1680. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Vidales, Beatriz can be contacted via phone (760) 743-6790.

Contact Information

Primary practice address
725 N Quince St 101 Escondido CA 92025-1680
Phone: (760) 743-6790
Fax: (760) 743-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 45212 California

Profile Details

NPI number 1851365043
LBN Legal business name Vidales, Beatriz
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 27th, 2013 - about 12 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 1851365043 NPPES
California Other B4521201 MEDI-CAL IDENTIFICATION #
California Other 980769 MEDI-CAL IDENTIFICATION #
California Other B4521201 MEDI-CAL IDENTIFICATION #

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