Tadehara, Ashley Ann
Tadehara, Ashley Ann is an individual health care provider with primary practice located at 803 S Main St Ste 120 , Moscow ID 83843-2695. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tadehara, Ashley Ann can be contacted via phone (208) 848-8300.Contact Information
Primary practice address
803 S Main St Ste 120
Moscow ID 83843-2695
Phone: (208) 848-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH61011478 | Washington |
| Dental Providers / Dental Hygienist | 124Q00000X | DH-3580 | Idaho |
Profile Details
| NPI number | 1366085847 |
|---|---|
| LBN Legal business name | Tadehara, Ashley Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2019 |
| Last updated | Oct 28th, 2019 - 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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