Jethwani, Monica

Jethwani, Monica is an individual health care provider with primary practice located at 601 S Carr Rd Ste 350 , Renton WA 98055-5854. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is her primary health care specialty. Jethwani, Monica can be contacted via phone (425) 227-3368.

Contact Information

Primary practice address
601 S Carr Rd Ste 350 Renton WA 98055-5854
Phone: (425) 227-3368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401413488 Virginia
Dental Providers / Endodontics 1223E0200X DE60665049 Washington

Profile Details

NPI number 1871867069
LBN Legal business name Jethwani, Monica
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Aug 24th, 2020 - about 4 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 1871867069 NPPES
Virginia MEDICAID PENDING

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