Fontanez, Raquel Marie
Fontanez, Raquel Marie is an sole proprietor health care provider with primary practice located at 1775 Grand Concourse Fl 6 , Bronx NY 10453-8202. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Fontanez, Raquel Marie can be contacted via phone (718) 901-8110.Contact Information
Primary practice address
1775 Grand Concourse Fl 6
Bronx NY 10453-8202
Phone: (718) 901-8110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 25734 | Florida |
Profile Details
| NPI number | 1427442177 |
|---|---|
| LBN Legal business name | Fontanez, Raquel Marie |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2015 |
| Last updated | Oct 25th, 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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