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Contact Information

BEAR VALLEY DENTAL CARE
41628 BIG BEAR BLVD
BIG BEAR LAKE, CA92315
 Phone: 909-866-2646
 Fax: 909-866-1796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BEAR VALLEY DENTAL CARE · (Female)

NPI # 1093914582
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2007
Last updated 07/13/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 40110
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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