Bauer, Malina Lynn
Bauer, Malina Lynn is an individual health care provider with primary practice located at 12420 Timberland Blvd Ste 416 , Keller TX 76248-1230. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bauer, Malina Lynn can be contacted via phone (817) 518-1100.Contact Information
Primary practice address
12420 Timberland Blvd Ste 416
Keller TX 76248-1230
Phone: (817) 518-1100
Fax: (817) 518-1106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 15414 | Texas |
Profile Details
| NPI number | 1316175011 |
|---|---|
| LBN Legal business name | Bauer, Malina Lynn |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Jul 1st, 2009 - about 16 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 | 1316175011 | NPPES |
| Texas | Other | 15414 | RDH LICENSE NUMBER |
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