Wondra, Kirk Scott
Wondra, Kirk Scott is an individual health care provider with primary practice located at 4320 Ridgecrest Dr Se Ste E , Rio Rancho NM 87124-5971. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wondra, Kirk Scott can be contacted via phone (505) 891-1100.Contact Information
Primary practice address
4320 Ridgecrest Dr Se Ste E
Rio Rancho NM 87124-5971
Phone: (505) 891-1100
Fax: (505) 891-1094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1796 | New Mexico |
Profile Details
| NPI number | 1609809656 |
|---|---|
| LBN Legal business name | Wondra, Kirk Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609809656 | NPPES |
| New Mexico | Other | 817303 | UNITED CONCORDIA |
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