Root, Krista Dawn

Root, Krista Dawn is an sole proprietor health care provider with primary practice located at 22629 Twain Harte Dr Suite A, Twain Harte CA 95383-9628. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Root, Krista Dawn can be contacted via phone (209) 586-2772.

Contact Information

Primary practice address
22629 Twain Harte Dr Suite A Twain Harte CA 95383-9628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 18704 California

Profile Details

NPI number 1770630014
LBN Legal business name Root, Krista Dawn
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 18 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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