Waltz, Chad
Waltz, Chad is an individual health care provider with primary practice located at 625 Eichenfeld Dr , Brandon FL 33511-5908. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Waltz, Chad can be contacted via phone (813) 654-3636.Contact Information
Primary practice address
625 Eichenfeld Dr
Brandon FL 33511-5908
Phone: (813) 654-3636
Fax: (813) 651-4984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DN21983 | Florida |
Profile Details
| NPI number | 1659787398 |
|---|---|
| LBN Legal business name | Waltz, Chad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2014 |
| Last updated | Jul 28th, 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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