Jay, Bruce Walter
Jay, Bruce Walter is an sole proprietor health care provider with primary practice located at 8230 Leesburg Pike Suite 730, Vienna VA 22182-2639. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jay, Bruce Walter can be contacted via phone (703) 893-5250.Contact Information
Primary practice address
8230 Leesburg Pike Suite 730
Vienna VA 22182-2639
Phone: (703) 893-5250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0401006178 | Virginia |
Profile Details
| NPI number | 1275757148 |
|---|---|
| LBN Legal business name | Jay, Bruce Walter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 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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