Kaakko, Tarja

Kaakko, Tarja is an individual health care provider with primary practice located at 700 Nw Gilman Blvd Suite E-103, #493, Issaquah WA 98027-5395. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Kaakko, Tarja can be contacted via phone (206) 355-1596.

Contact Information

Primary practice address
700 Nw Gilman Blvd Suite E-103, #493 Issaquah WA 98027-5395
Fax: (425) 369-9785
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9397 Washington

Profile Details

NPI number 1306911383
LBN Legal business name Kaakko, Tarja
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 11th, 2008 - 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 1306911383 NPPES
Washington MEDICAID 5056239
Washington MEDICAID 5040324

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