Wiley, Rashidah Tynetta

Wiley, Rashidah Tynetta is an individual health care provider with primary practice located at 2400 Maritime Dr , Elk Grove CA 95758-3660. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Wiley, Rashidah Tynetta can be contacted via phone (916) 686-8914.

Contact Information

Primary practice address
2400 Maritime Dr Elk Grove CA 95758-3660
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DEN4597 Maine
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 10225 Kentucky
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 64355 California

Profile Details

NPI number 1578829974
LBN Legal business name Wiley, Rashidah Tynetta
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Jan 16th, 2024 - about last year

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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