Fong-Soto, Richard Alejandro

Fong-Soto, Richard Alejandro is an sole proprietor health care provider with primary practice located at 3901 Capital Blvd 161, Raleigh NC 27604-3488. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fong-Soto, Richard Alejandro can be contacted via phone (919) 301-8622.

Contact Information

Primary practice address
3901 Capital Blvd 161 Raleigh NC 27604-3488
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0497371 New York

Profile Details

NPI number 1497706253
LBN Legal business name Fong-Soto, Richard Alejandro
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jul 22nd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497706253 NPPES
New York MEDICAID 02655223

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