Kondo, Michael E.

Kondo, Michael E. is an individual health care provider with primary practice located at 4610 N Ash St Ste 201, Spokane WA 99205-1482. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kondo, Michael E. can be contacted via phone (509) 325-4313.

Contact Information

Primary practice address
4610 N Ash St Ste 201 Spokane WA 99205-1482
Fax: (509) 325-3919
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4945 Washington

Profile Details

NPI number 1487656518
LBN Legal business name Kondo, Michael E.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
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 1487656518 NPPES
Washington MEDICAID 5515804

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