Sepulveda, Nicole

Sepulveda, Nicole is an individual health care provider with primary practice located at Bldg 171 4Th & Inner Loop Road, Fort Irwin CA 92310. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Dental Providers / Dental Laboratory Technician. Dental Providers / Dental Laboratory Technician is her primary health care specialty. Sepulveda, Nicole can be contacted via phone (719) 526-5537.

Contact Information

Primary practice address
Bldg 171 4Th & Inner Loop Road Fort Irwin CA 92310
Phone: (719) 526-5537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X
Dental Providers / Dental Laboratory Technician 126900000X

Profile Details

NPI number 1881106193
LBN Legal business name Sepulveda, Nicole
Credentials 68EN5
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Oct 31st, 2017 - about 9 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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