Bertolotti, Raymond

Bertolotti, Raymond is an sole proprietor health care provider with primary practice located at 345 Estudillo Ave , San Leandro CA 94577-4702. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bertolotti, Raymond can be contacted via phone (510) 483-2164.

Contact Information

Primary practice address
345 Estudillo Ave San Leandro CA 94577-4702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X CA27505 California

Profile Details

NPI number 1568039659
LBN Legal business name Bertolotti, Raymond
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 5 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 1568039659 NPPES
California Other CA27505 CA27505

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