Mat, Breanne Ayla
Mat, Breanne Ayla is an individual health care provider with primary practice located at 3300 Se Dwyer Dr Ste 302 , Milwaukie OR 97222-6548. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mat, Breanne Ayla can be contacted via phone (503) 850-4479.Contact Information
Primary practice address
3300 Se Dwyer Dr Ste 302
Milwaukie OR 97222-6548
Phone: (503) 850-4479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1710606728 |
|---|---|
| LBN Legal business name | Mat, Breanne Ayla |
| Credentials | RDH, EPDH, BSDH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2022 |
| Last updated | Aug 23rd, 2022 - about 3 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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