Shiroma, Edgar Kam
Shiroma, Edgar Kam is an individual health care provider with primary practice located at 2110 9Th St Ste B , Tillamook OR 97141-3950. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shiroma, Edgar Kam can be contacted via phone (503) 842-7700.Contact Information
Primary practice address
2110 9Th St Ste B
Tillamook OR 97141-3950
Phone: (503) 842-7700
Fax: (503) 842-7727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D4979 | Oregon |
Profile Details
| NPI number | 1700978301 |
|---|---|
| LBN Legal business name | Shiroma, Edgar Kam |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1700978301 | NPPES |
| Oregon | Other | D4979 | LICENSE |
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