Ishikawa, Kentaro
Ishikawa, Kentaro is an sole proprietor health care provider with primary practice located at 190 Lake Dr E Ste 130, Chanhassen MN 55317. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ishikawa, Kentaro can be contacted via phone (920) 830-4100.Contact Information
Primary practice address
190 Lake Dr E Ste 130
Chanhassen MN 55317
Phone: (920) 830-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D13971 | Minnesota |
Profile Details
| NPI number | 1194078584 |
|---|---|
| LBN Legal business name | Ishikawa, Kentaro |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 22nd, 2012 |
| Last updated | May 11th, 2018 - about 7 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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