Hiromasa Fessenden, Tami
Hiromasa Fessenden, Tami is an sole proprietor health care provider with primary practice located at 11576 S State St Suite 1201, Draper UT 84020-6431. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hiromasa Fessenden, Tami can be contacted via phone (801) 716-7006.Contact Information
Primary practice address
11576 S State St Suite 1201
Draper UT 84020-6431
Phone: (801) 716-7006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6267683-9922 | Utah |
Profile Details
| NPI number | 1053566166 |
|---|---|
| LBN Legal business name | Hiromasa Fessenden, Tami |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2008 |
| Last updated | Aug 6th, 2014 - about 11 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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