Imholte, Richard R

Imholte, Richard R is an individual health care provider with primary practice located at 409 W Main St Twin City Dental, Kelso WA 98626-1117. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Imholte, Richard R can be contacted via phone (360) 577-1153.

Contact Information

Primary practice address
409 W Main St Twin City Dental Kelso WA 98626-1117
Fax: (360) 425-1540
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4754 Washington

Profile Details

NPI number 1043331184
LBN Legal business name Imholte, Richard R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1043331184 NPPES
Washington Other 5500905 WA STATE D.S.H.S.

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