Velasquez, Lina M

Velasquez, Lina M is an individual health care provider with primary practice located at 2337 S Belt Line Rd Ste 100 , Grand Prairie TX 75051-4152. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Velasquez, Lina M can be contacted via phone (972) 282-9444.

Contact Information

Primary practice address
2337 S Belt Line Rd Ste 100 Grand Prairie TX 75051-4152
Phone: (972) 282-9444
Fax: (972) 282-9446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 56361 California
Dental Providers / General Practice 1223G0001X 24889 Texas

Profile Details

NPI number 1386823912
LBN Legal business name Velasquez, Lina M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386823912 NPPES
Texas MEDICAID 205094012
Texas Other 56361

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