Oda, Dolphine

Oda, Dolphine is an individual health care provider with primary practice located at 1959 Ne Pacific St B241 Hsb, Seattle WA 98195-7134. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Oda, Dolphine can be contacted via phone (206) 543-4440.

Contact Information

Primary practice address
1959 Ne Pacific St B241 Hsb Seattle WA 98195-7134
Phone: (206) 543-4440
Fax: (206) 543-8054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DE00008619 Washington

Profile Details

NPI number 1710077532
LBN Legal business name Oda, Dolphine
Credentials BDS, MSC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 12th, 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 1710077532 NPPES
Washington Other 109907 L&I
Washington MEDICAID 7074222 L&I

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