De Vries, Deborah Kay

De Vries, Deborah Kay is an individual health care provider with primary practice located at 9428 Kensington Ct , Windsor CA 95492-8543. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. De Vries, Deborah Kay can be contacted via phone (707) 479-5611.

Contact Information

Primary practice address
9428 Kensington Ct Windsor CA 95492-8543
Phone: (707) 479-5611
Fax: (707) 837-0441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 24727 California
Dental Providers / Dental Hygienist 124Q00000X HAP482 California

Profile Details

NPI number 1518206143
LBN Legal business name De Vries, Deborah Kay
Credentials RDHAP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2013
Last updated Oct 17th, 2013 - about 12 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 1518206143 NPPES
California MEDICAID 1366688418

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