Diaz, Jessica

Diaz, Jessica is an individual health care provider with primary practice located at 1270 W Main St , Sun Prairie WI 53590-1930. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Diaz, Jessica can be contacted via phone (608) 825-7100.

Contact Information

Primary practice address
1270 W Main St Sun Prairie WI 53590-1930
Phone: (608) 825-7100
Fax: (608) 837-9134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1002640-16 Wisconsin

Profile Details

NPI number 1861849945
LBN Legal business name Diaz, Jessica
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2016
Last updated May 19th, 2016 - about 9 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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