Kelly, Desiree Denise
Kelly, Desiree Denise is an individual health care provider with primary practice located at 7105 Sw Hampton St , Tigard OR 97223-8314. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Desiree Denise can be contacted via phone (503) 684-9274.Contact Information
Primary practice address
7105 Sw Hampton St
Tigard OR 97223-8314
Phone: (503) 684-9274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H1854 | Oregon |
Profile Details
| NPI number | 1598778169 |
|---|---|
| LBN Legal business name | Kelly, Desiree Denise |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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