Ms. Erica Berenice Licea
Dental Assistant
1342 W La Gloria Dr
Rialto
, California 92377-4466
Ms. Erica Berenice Licea
Dental Assistant
1342 W La Gloria Dr
Rialto
, California 92377-4466
(951) 465-9162
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Ms. Erica Berenice Licea
- 1342 W La Gloria Dr
- Rialto, CA
- Zip : 92377-4466
- Phone : (951) 465-9162
Second Address
- Ms. Erica Berenice Licea
- 1342 W La Gloria Dr
- Rialto, CA
- Zip : 92377-4466
- Phone : (951) 465-9162
Reviews
FAQs
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Is Ms. Erica Berenice Licea board certified?
What type of doctor is Ms. Erica Berenice Licea
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Is Ms. Erica Berenice Licea a sole practitioner?
Is Ms. Erica Berenice Licea accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 66604 | CA |
National Provider Identifier
| NPI | 1376002287 |
|---|---|
| Provider Name | Ms. Erica Berenice Licea |
| First Address | Rialto, CA 92377-4466 |
| Second Address | Rialto, CA 92377-4466 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2019 |
| Last Update Date | 19/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 66604 | (05) | CA |
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.