Saenz, Marlo Leslie
Saenz, Marlo Leslie is an individual health care provider with primary practice located at 122 1St Ave Suite 600, Fairbanks AK 99701-4803. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Saenz, Marlo Leslie can be contacted via phone (907) 452-8251.Contact Information
Primary practice address
122 1St Ave Suite 600
Fairbanks AK 99701-4803
Phone: (907) 452-8251
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1195 | Alaska |
Profile Details
| NPI number | 1255476917 |
|---|---|
| LBN Legal business name | Saenz, Marlo Leslie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255476917 | NPPES |
| Alaska | MEDICAID | DD1303 |
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