Vega, Sandra
Vega, Sandra is an sole proprietor health care provider with primary practice located at 710 E San Ysidro Blvd 128, San Ysidro CA 92173-3123. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Vega, Sandra can be contacted via phone (619) 831-0437.Contact Information
Primary practice address
710 E San Ysidro Blvd 128
San Ysidro CA 92173-3123
Phone: (619) 831-0437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4829257 | California |
Profile Details
| NPI number | 1417352048 |
|---|---|
| LBN Legal business name | Vega, Sandra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2014 |
| Last updated | Oct 24th, 2014 - about 12 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 | 1417352048 | NPPES |
| California | Other | 4829257 | DENTAL LICENSE |
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