Deroche, Charlea Dawn
Deroche, Charlea Dawn is an individual health care provider with primary practice located at 830 W Central Ave , Missoula MT 59801-7931. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Deroche, Charlea Dawn can be contacted via phone (406) 829-9515.Contact Information
Primary practice address
830 W Central Ave
Missoula MT 59801-7931
Phone: (406) 829-9515
Fax: (406) 829-9519
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | DEN-RDH-LIC-21507 | Montana |
Profile Details
NPI number | 1124737424 |
---|---|
LBN Legal business name | Deroche, Charlea Dawn |
Credentials | Registered Dental Hygienist (RDH) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2022 |
Last updated | Nov 16th, 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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