Balbuena Tapia, Erica
Balbuena Tapia, Erica is an sole proprietor health care provider with primary practice located at 120 W Martin Luther King Jr Dr , Washington NC 27889-4906. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Balbuena Tapia, Erica can be contacted via phone (252) 940-0602.Contact Information
Primary practice address
120 W Martin Luther King Jr Dr
Washington NC 27889-4906
Phone: (252) 940-0602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11091 | North Carolina |
Profile Details
| NPI number | 1770078719 |
|---|---|
| LBN Legal business name | Balbuena Tapia, Erica |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2018 |
| Last updated | Jun 22nd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770078719 | NPPES |
| North Carolina | Other | 11091 | DENTAL LICENSE |
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