Willis, Aida Lizeth

Willis, Aida Lizeth is an sole proprietor health care provider with primary practice located at 732 Mott St Ste 110 , San Fernando CA 91340-4240. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Willis, Aida Lizeth can be contacted via phone (818) 963-5690.

Contact Information

Primary practice address
732 Mott St Ste 110 San Fernando CA 91340-4240
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 27831 California

Profile Details

NPI number 1629741137
LBN Legal business name Willis, Aida Lizeth
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2021
Last updated Jul 30th, 2021 - about 4 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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