Kolesar, Matthew R

Kolesar, Matthew R is an individual health care provider with primary practice located at 2311 M St Nw Suite 500, Washington DC 20037-1445. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kolesar, Matthew R can be contacted via phone (202) 296-3360.

Contact Information

Primary practice address
2311 M St Nw Suite 500 Washington DC 20037-1445
Fax: (202) 728-0294
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DEN1000537 District of Columbia

Profile Details

NPI number 1649360348
LBN Legal business name Kolesar, Matthew R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1649360348 NPPES
District of Columbia Other DEN1000537 DC DENTAL LICENSE NUMBER

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