Cardenas, Marisol

Cardenas, Marisol is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Cardenas, Marisol can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Fax: (509) 488-9939
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH61330440 Washington

Profile Details

NPI number 1518693522
LBN Legal business name Cardenas, Marisol
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518693522 NPPES
Washington Other DH61330440 DOH LICENSE

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