Ross, Tessa Annalise

Ross, Tessa Annalise is an sole proprietor health care provider with primary practice located at 1431 Gravink Ct , Woodland CA 95776-6730. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ross, Tessa Annalise can be contacted via phone (530) 848-2359.

Contact Information

Primary practice address
1431 Gravink Ct Woodland CA 95776-6730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 963 California

Profile Details

NPI number 1144929415
LBN Legal business name Ross, Tessa Annalise
Credentials RDHAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2023
Last updated Feb 27th, 2023 - about 2 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 1144929415 NPPES
California MEDICAID 963

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