Vanderwal, Michelle Marie

Vanderwal, Michelle Marie is an individual health care provider with primary practice located at 340 Magnolia Cir Bldg 1465, Tyndall Afb FL 32403-5604. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Vanderwal, Michelle Marie can be contacted via phone (850) 283-7574.

Contact Information

Primary practice address
340 Magnolia Cir Bldg 1465 Tyndall Afb FL 32403-5604
Phone: (850) 283-7574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH 18089 Florida

Profile Details

NPI number 1770634321
LBN Legal business name Vanderwal, Michelle Marie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 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.

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