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Contact Information

A STREET DENTAL CLINIC
902 A ST SE
SUITE A
AUBURN, WA98002-6056
 Phone: 253-288-9608
 Fax: 253-288-9631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A STREET DENTAL CLINIC · (Female)

NPI # 1083799068
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # 9810
  • WA Medicaid 5040621
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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