Yoder, Bruce Lee
Yoder, Bruce Lee is an individual health care provider with primary practice located at 1880 Pottery Ave , Port Orchard WA 98366-2518. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Yoder, Bruce Lee can be contacted via phone (360) 895-4321.Contact Information
Primary practice address
1880 Pottery Ave
Port Orchard WA 98366-2518
Phone: (360) 895-4321
Fax: (360) 895-4326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5975 | Washington |
Profile Details
| NPI number | 1821076662 |
|---|---|
| LBN Legal business name | Yoder, Bruce Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821076662 | NPPES |
| Washington | MEDICAID | 5025796 | |
| Washington | Other | 5975 |
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