Puentes, Sidney

Puentes, Sidney is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Puentes, Sidney can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Fax: (509) 488-9939
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH60292806 Washington

Profile Details

NPI number 1508337841
LBN Legal business name Puentes, Sidney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Feb 17th, 2020 - about 5 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 1508337841 NPPES
Washington Other DH60292806 WASHINGTON STATE LICENSE

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