Retamozo, Bonnie J.
Retamozo, Bonnie J. is an individual health care provider with primary practice located at 24099 Postal Ave , Moreno Valley CA 92553-7778. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Retamozo, Bonnie J. can be contacted via phone (951) 601-1290.Contact Information
Primary practice address
24099 Postal Ave
Moreno Valley CA 92553-7778
Phone: (951) 601-1290
Fax: (951) 601-1292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 54396 | California |
Profile Details
| NPI number | 1497996078 |
|---|---|
| LBN Legal business name | Retamozo, Bonnie J. |
| Credentials | DDS, MSD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2009 |
| Last updated | Mar 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497996078 | NPPES |
| California | Other | 54396 | STATE LICENSE |
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