Borquez, Randolph Anthony

Borquez, Randolph Anthony is an sole proprietor health care provider with primary practice located at 12440 Firestone Blvd Suite 1018, Norwalk CA 90650-4328. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Borquez, Randolph Anthony can be contacted via phone (562) 863-4333.

Contact Information

Primary practice address
12440 Firestone Blvd Suite 1018 Norwalk CA 90650-4328
Phone: (562) 863-4333
Fax: (562) 863-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30082 California

Profile Details

NPI number 1770649337
LBN Legal business name Borquez, Randolph Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 9th, 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 1770649337 NPPES
California Other B30082-01 DENTI-CAL
California Other CA00XXXXX49940000000 DENTI-CAL

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