Valdez, Mark Kekoa

Valdez, Mark Kekoa is an individual health care provider with primary practice located at Us Army Dental Activity 4431 68Th Street , Fort Hood TX 76544. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Valdez, Mark Kekoa can be contacted via phone (254) 287-2705.

Contact Information

Primary practice address
Us Army Dental Activity 4431 68Th Street Fort Hood TX 76544
Phone: (254) 287-2705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1144671652
LBN Legal business name Valdez, Mark Kekoa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Jun 27th, 2016 - about 8 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 1144671652 NPPES
Hawaii Other H01098950 DENTAL HYGIENIST

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