Blazquez-Gomez, Maria Jose

Blazquez-Gomez, Maria Jose is an sole proprietor health care provider with primary practice located at 4Th And Inner Loop Road Bldg 171, Fort Irwin CA 92310. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Blazquez-Gomez, Maria Jose can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
4Th And Inner Loop Road Bldg 171 Fort Irwin CA 92310
Phone: (719) 526-5537
Fax: (719) 524-2843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1659903235
LBN Legal business name Blazquez-Gomez, Maria Jose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2020
Last updated Feb 11th, 2020 - about 6 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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