Ayala, Samantha Rae
Ayala, Samantha Rae is an individual health care provider with primary practice located at 1775 E Main St , Cottage Grove OR 97424-2245. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ayala, Samantha Rae can be contacted via phone (541) 649-7023.Contact Information
Primary practice address
1775 E Main St
Cottage Grove OR 97424-2245
Phone: (541) 649-7023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11145 | Oregon |
Profile Details
| NPI number | 1538717186 |
|---|---|
| LBN Legal business name | Ayala, Samantha Rae |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2019 |
| Last updated | Aug 27th, 2019 - about 7 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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