Kriswandi, Crystal Dewi Roslina
Kriswandi, Crystal Dewi Roslina is an individual health care provider with primary practice located at 7095 Sw Gonzaga St , Tigard OR 97223-8309. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kriswandi, Crystal Dewi Roslina can be contacted via phone (855) 433-6825.Contact Information
Primary practice address
7095 Sw Gonzaga St
Tigard OR 97223-8309
Phone: (855) 433-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7621 | Oregon |
Profile Details
| NPI number | 1285788273 |
|---|---|
| LBN Legal business name | Kriswandi, Crystal Dewi Roslina |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Nov 29th, 2023 - about 2 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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