Wildhaber, Ashley Lynn

Wildhaber, Ashley Lynn is an sole proprietor health care provider with primary practice located at 111 Tumwater Blvd Se # 301 , Tumwater WA 98501-6400. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wildhaber, Ashley Lynn can be contacted via phone (360) 786-9354.

Contact Information

Primary practice address
111 Tumwater Blvd Se # 301 Tumwater WA 98501-6400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE61085858 Washington

Profile Details

NPI number 1851991319
LBN Legal business name Wildhaber, Ashley Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2020
Last updated Oct 26th, 2020 - about 4 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 1851991319 NPPES
Washington MEDICAID 1220931301

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