Gomez, Bianca
Gomez, Bianca is an sole proprietor health care provider with primary practice located at Bldg 9900 Lincoln Street , Jblm WA 98431. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Gomez, Bianca can be contacted via phone (253) 968-4079.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | D160036350 | Washington |
Profile Details
| NPI number | 1801307681 |
|---|---|
| LBN Legal business name | Gomez, Bianca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2017 |
| Last updated | Oct 19th, 2017 - about 8 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 | 1801307681 | NPPES |
| Other | 1182770279 | DOD |
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