Garcia, Kimberly Ann

Garcia, Kimberly Ann is an individual health care provider with primary practice located at 810 Rekdal Rd , Camano Island WA 98282-8852. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Garcia, Kimberly Ann can be contacted via phone (360) 629-4097.

Contact Information

Primary practice address
810 Rekdal Rd Camano Island WA 98282-8852
Fax: (360) 629-3906
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00007673 Washington

Profile Details

NPI number 1912022047
LBN Legal business name Garcia, Kimberly Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 18th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912022047 NPPES
Washington MEDICAID 5024468

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