Ronderos, Mauricio
Ronderos, Mauricio is an sole proprietor health care provider with primary practice located at 358 Marine Pkwy Ste 300 , Redwood City CA 94065-5211. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Ronderos, Mauricio can be contacted via phone (650) 595-5083.Contact Information
Primary practice address
358 Marine Pkwy Ste 300
Redwood City CA 94065-5211
Phone: (650) 595-5083
Fax: (650) 594-9236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 47787 | California |
Profile Details
| NPI number | 1457402034 |
|---|---|
| LBN Legal business name | Ronderos, Mauricio |
| Credentials | DDS, MS, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457402034 | NPPES |
| California | Other | 47787 | DENTAL LINSENCE |
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