Tavakkoly, Eveette Michelle

Tavakkoly, Eveette Michelle is an sole proprietor health care provider with primary practice located at 647 Camino De Los Mares Ste 209 , San Clemente CA 92673-2807. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tavakkoly, Eveette Michelle can be contacted via phone (949) 493-9311.

Contact Information

Primary practice address
647 Camino De Los Mares Ste 209 San Clemente CA 92673-2807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 21667 California

Profile Details

NPI number 1972709897
LBN Legal business name Tavakkoly, Eveette Michelle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 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.

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