Forman, Ted P
Forman, Ted P is an individual health care provider with primary practice located at 11700 Mukilteo Speedway Suite 502, Mukilteo WA 98275. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Forman, Ted P can be contacted via phone (425) 290-5573.Contact Information
Primary practice address
11700 Mukilteo Speedway Suite 502
Mukilteo WA 98275
Phone: (425) 290-5573
Fax: (425) 290-3643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6787 | Washington |
Profile Details
| NPI number | 1245249663 |
|---|---|
| LBN Legal business name | Forman, Ted P |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 24th, 2012 - about 12 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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