Olivera, Paul
Olivera, Paul is an sole proprietor health care provider with primary practice located at 450 W San Jose Ave , Claremont CA 91711-5404. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Olivera, Paul can be contacted via phone (909) 626-1292.Contact Information
Primary practice address
450 W San Jose Ave
Claremont CA 91711-5404
Phone: (909) 626-1292
Fax: (909) 626-8193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 31112 | California |
Profile Details
| NPI number | 1972654812 |
|---|---|
| LBN Legal business name | Olivera, Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972654812 | NPPES |
| California | Other | B3111201 | MEDI-CAL |
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