A New Image Denture Clinic

LBN: A New Image Denture Clinic
A New Image Denture Clinic is an health care organization with primary practice located at 2811 E Main , Puyallup WA 98372-3167. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. A New Image Denture Clinic can be contacted via phone (253) 770-7707, or through Ghattas, Peter Nabegh via phone (253) 770-7707.

Contact Information

Primary practice address
2811 E Main Puyallup WA 98372-3167
Phone: (253) 770-7707
Fax: (253) 770-8784
Website:
Map and Directions
Authorized official contact:
Name: Ghattas, Peter Nabegh D.P.D.
Phone: (253) 770-7707

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000199 Washington

Profile Details

NPI number 1003237538
LBN Legal business name A New Image Denture Clinic
DBA Doing business as
Authorized official Ghattas, Peter Nabegh D.P.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2013
Last updated Dec 31st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003237538 NPPES
Washington MEDICAID 5027412

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