Bourgeois, Kenneth Wayne
Bourgeois, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 226 Chalan San Antonio Ste C , Tamuning GU 96913-3525. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bourgeois, Kenneth Wayne can be contacted via phone (671) 646-2010.Contact Information
Primary practice address
226 Chalan San Antonio Ste C
Tamuning GU 96913-3525
Phone: (671) 646-2010
Fax: (671) 646-2070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D927 | Guam |
| Dental Providers / General Practice | 1223G0001X | 14605 | Texas |
Profile Details
| NPI number | 1255561320 |
|---|---|
| LBN Legal business name | Bourgeois, Kenneth Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Jul 22nd, 2009 - about 17 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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