Vega Valenzuela, Estrella

Vega Valenzuela, Estrella is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Vega Valenzuela, Estrella can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-9939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X D161222067 Washington

Profile Details

NPI number 1558016964
LBN Legal business name Vega Valenzuela, Estrella
Credentials DA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2022
Last updated Feb 14th, 2022 - about 3 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 1558016964 NPPES
Washington Other D161222067 DOH LICENSE

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