Fasoro, Yetunde
Fasoro, Yetunde is an sole proprietor health care provider with primary practice located at 850 Lakeland Dr , Chippewa Falls WI 54729-1687. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fasoro, Yetunde can be contacted via phone (715) 738-2000.Contact Information
Primary practice address
850 Lakeland Dr
Chippewa Falls WI 54729-1687
Phone: (715) 738-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DN014857 | Georgia |
Dental Providers / Dentist | 122300000X | 1001171-15 | Wisconsin |
Profile Details
NPI number | 1932508496 |
---|---|
LBN Legal business name | Fasoro, Yetunde |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 20th, 2014 |
Last updated | Jun 22nd, 2023 - about last year |
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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