Kronstrom, Mats H

Kronstrom, Mats H is an individual health care provider with primary practice located at 325 9Th Ave Mailbox 359893, Seattle WA 98104-2420. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is his primary health care specialty. Kronstrom, Mats H can be contacted via phone (206) 731-3189.

Contact Information

Primary practice address
325 9Th Ave Mailbox 359893 Seattle WA 98104-2420
Phone: (206) 731-3189
Fax: (206) 731-2810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DF30000093 Washington
Dental Providers / Prosthodontics 1223P0700X DF30000093 Washington

Profile Details

NPI number 1477689966
LBN Legal business name Kronstrom, Mats H
Credentials DDS, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
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 1477689966 NPPES
Washington MEDICAID 5052121

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