Slade, Michelle Gonzales

Slade, Michelle Gonzales is an individual health care provider with primary practice located at 22111 Timberline Way , Lake Forest CA 92630-3431. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Slade, Michelle Gonzales can be contacted via phone (714) 300-8526.

Contact Information

Primary practice address
22111 Timberline Way Lake Forest CA 92630-3431
Phone: (714) 300-8526
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 104589 California

Profile Details

NPI number 1659918514
LBN Legal business name Slade, Michelle Gonzales
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Dec 10th, 2019 - about 7 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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