Benaderet, Theodore

Benaderet, Theodore is an sole proprietor health care provider with primary practice located at 9900 Mcfadden Ave Ste 201 , Westminster CA 92683-6978. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Benaderet, Theodore can be contacted via phone (714) 531-2513.

Contact Information

Primary practice address
9900 Mcfadden Ave Ste 201 Westminster CA 92683-6978
Phone: (714) 531-2513
Fax: (714) 531-1603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 18786 California

Profile Details

NPI number 1124194394
LBN Legal business name Benaderet, Theodore
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1124194394 NPPES
California Other B18786-01 MEDI-CAL (CALIFORNIA)

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