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Contact Information

ELIZABETH BRUTUS, R.D.H.A.P.
2623 S ANDREWS LN
SAN BERNARDINO, CA92408-4191
 Phone: 909-222-4654
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Dental Therapist

125K00000X
 

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH BRUTUS · (Female)

NPI Number 1376929638
Status Active
Credentials R.D.H.A.P.
Entity Individual
Enumeration date 08/09/2015
Last updated 01/12/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 19425
  • CA License # 585
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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