Henriquez, Mauricio Jesus

Henriquez, Mauricio Jesus is an sole proprietor health care provider with primary practice located at 163 164Th Ave Se , Bellevue WA 98008-4637. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Henriquez, Mauricio Jesus can be contacted via phone (425) 417-6091.

Contact Information

Primary practice address
163 164Th Ave Se Bellevue WA 98008-4637
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000313 Washington

Profile Details

NPI number 1306023213
LBN Legal business name Henriquez, Mauricio Jesus
Credentials LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2008
Last updated Jan 23rd, 2008 - about 16 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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