Desta, David
Desta, David is an sole proprietor health care provider with primary practice located at 9600 Blackwell Rd Ste 103 , Rockville MD 20850-3670. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Desta, David can be contacted via phone (178) 404-3236.Contact Information
Primary practice address
9600 Blackwell Rd Ste 103
Rockville MD 20850-3670
Phone: (178) 404-3236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 15705 | Maryland |
Profile Details
| NPI number | 1144610916 |
|---|---|
| LBN Legal business name | Desta, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2015 |
| Last updated | Apr 11th, 2023 - about 2 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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