Bantwal, Jayanthi
Bantwal, Jayanthi is an individual health care provider with primary practice located at 24837 104Th Ave Se Ste 103 , Kent WA 98030-6800. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bantwal, Jayanthi can be contacted via phone (253) 277-2620.Contact Information
Primary practice address
24837 104Th Ave Se Ste 103
Kent WA 98030-6800
Phone: (253) 277-2620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00009467 | Washington |
Profile Details
| NPI number | 1699890335 |
|---|---|
| LBN Legal business name | Bantwal, Jayanthi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Dec 22nd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699890335 | NPPES |
| Washington | MEDICAID | 5045315 |
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