Vanderwal, Michelle Marie
Vanderwal, Michelle Marie is an individual health care provider with primary practice located at 340 Magnolia Cir Bldg 1465, Tyndall Afb FL 32403-5604. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Vanderwal, Michelle Marie can be contacted via phone (850) 283-7574.Contact Information
Primary practice address
340 Magnolia Cir Bldg 1465
Tyndall Afb FL 32403-5604
Phone: (850) 283-7574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH 18089 | Florida |
Profile Details
| NPI number | 1770634321 |
|---|---|
| LBN Legal business name | Vanderwal, Michelle Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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