Waldo, Keegan Joseph
Waldo, Keegan Joseph is an sole proprietor health care provider with primary practice located at 2625 Wheaton Way Ste D , Bremerton WA 98310-3372. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Waldo, Keegan Joseph can be contacted via phone (360) 373-2539.Contact Information
Primary practice address
2625 Wheaton Way Ste D
Bremerton WA 98310-3372
Phone: (360) 373-2539
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | RR60670198 | Washington |
| Dental Providers / General Practice | 1223G0001X | DE60769612 | Washington |
Profile Details
| NPI number | 1821526708 |
|---|---|
| LBN Legal business name | Waldo, Keegan Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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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