Ms. Bernadette Theresa Close
Dental Public Health
10244 Icefield Ct
Corona
, California 92883-9265
Ms. Bernadette Theresa Close
Dental Public Health
10244 Icefield Ct
Corona
, California 92883-9265
(951) 255-1142
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Ms. Bernadette Theresa Close
- 10244 Icefield Ct
- Corona, CA
- Zip : 92883-9265
- Phone : (951) 255-1142
Second Address
- Ms. Bernadette Theresa Close
- 10244 Icefield Ct
- Corona, CA
- Zip : 92883-9265
- Phone : (951) 255-1142
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Is Ms. Bernadette Theresa Close a sole practitioner?
Is Ms. Bernadette Theresa Close accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 1223D0001X | CA |
National Provider Identifier
| NPI | 1760553457 |
|---|---|
| Provider Name | Ms. Bernadette Theresa Close |
| First Address | Corona, CA 92883-9265 |
| Second Address | Corona, CA 92883-9265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.