Ernafasov, Timur
Ernafasov, Timur is an individual health care provider with primary practice located at 610 W Meeker St Suite #102, Kent WA 98032-5726. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ernafasov, Timur can be contacted via phone (253) 852-6080.Contact Information
Primary practice address
610 W Meeker St Suite #102
Kent WA 98032-5726
Phone: (253) 852-6080
Fax: (253) 852-6099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00010048 | Washington |
Profile Details
| NPI number | 1487685376 |
|---|---|
| LBN Legal business name | Ernafasov, Timur |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487685376 | NPPES |
| Washington | MEDICAID | 5047519 |
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