Eldomiaty, Walied
Eldomiaty, Walied is an sole proprietor health care provider with primary practice located at 4055 Mercantile Dr Apt 374 , Lake Oswego OR 97035-2633. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is his primary health care specialty. Eldomiaty, Walied can be contacted via phone (202) 285-8313.Contact Information
Primary practice address
4055 Mercantile Dr Apt 374
Lake Oswego OR 97035-2633
Phone: (202) 285-8313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9897 | Kentucky |
| Dental Providers / Periodontics | 1223P0300X | D11696 | Oregon |
Profile Details
| NPI number | 1881256766 |
|---|---|
| LBN Legal business name | Eldomiaty, Walied |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Apr 10th, 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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