Kelso, Crystal

Kelso, Crystal is an individual health care provider with primary practice located at 1105 Se Jetty Ave #B, Lincoln City OR 97367-2632. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kelso, Crystal can be contacted via phone (855) 433-6825.

Contact Information

Primary practice address
1105 Se Jetty Ave #B Lincoln City OR 97367-2632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10498 Oregon

Profile Details

NPI number 1790138642
LBN Legal business name Kelso, Crystal
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Jul 15th, 2016 - about 10 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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