Requa, Anna
Requa, Anna is an sole proprietor health care provider with primary practice located at 24837 104Th Ave Se Ste 200 , Kent WA 98030-6800. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Requa, Anna can be contacted via phone (253) 850-1234.Contact Information
Primary practice address
24837 104Th Ave Se Ste 200
Kent WA 98030-6800
Phone: (253) 850-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 60801018 | Washington |
Profile Details
| NPI number | 1043620826 |
|---|---|
| LBN Legal business name | Requa, Anna |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2014 |
| Last updated | Dec 12th, 2018 - about 6 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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