Valentine, Russell S

Valentine, Russell S is an individual health care provider with primary practice located at 220 S 38Th St , Tacoma WA 98418-7847. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Valentine, Russell S can be contacted via phone (253) 475-4631.

Contact Information

Primary practice address
220 S 38Th St Tacoma WA 98418-7847
Fax: (253) 475-2635
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7290 Washington

Profile Details

NPI number 1962462507
LBN Legal business name Valentine, Russell S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Nov 24th, 2015 - about 9 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 1962462507 NPPES
Washington Other 846654 UNITED CONCORDIA

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