Pediatric Hospital Dentistry

LBN: Aa Bansal Pllc
Pediatric Hospital Dentistry is an health care organization with primary practice located at 317 Martin Luther King Jr Way , Tacoma WA 98405-4234. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Aa Bansal Pllc can be contacted via phone (253) 326-7777, or through Bansal, Shradha via phone (425) 830-4773.

Contact Information

Primary practice address
317 Martin Luther King Jr Way Tacoma WA 98405-4234
Fax: (866) 528-2025
Website:
Authorized official contact:
Name: Bansal, Shradha

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 602840244 Washington

Profile Details

NPI number 1356596811
LBN Legal business name Aa Bansal Pllc
DBA Doing business as Pediatric Hospital Dentistry
Authorized official Bansal, Shradha
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2008
Last updated Nov 21st, 2013 - about 12 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 1356596811 NPPES
Washington MEDICAID 5058490

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