Coronado, Efrain
Coronado, Efrain is an individual health care provider with primary practice located at 4280 Lavista Rd Ste C117 , Tucker GA 30084-5315. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Coronado, Efrain can be contacted via phone (678) 688-4811.Contact Information
Primary practice address
4280 Lavista Rd Ste C117
Tucker GA 30084-5315
Phone: (678) 688-4811
Fax: (404) 855-4913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN14839 | Florida |
| Dental Providers / General Practice | 1223G0001X | DN015888 | Georgia |
Profile Details
| NPI number | 1518050376 |
|---|---|
| LBN Legal business name | Coronado, Efrain |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 31st, 2022 - 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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