East Towne Dental Associates

LBN: Belgium Family Dental
East Towne Dental Associates is an health care organization with primary practice located at 171 Main St , Belgium WI 53004-9715. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Belgium Family Dental can be contacted via phone (262) 285-3408, or through Kiaie, Vali via phone (262) 285-3408.

Contact Information

Primary practice address
171 Main St Belgium WI 53004-9715
Fax: (262) 285-4025
Website:
Authorized official contact:
Name: Kiaie, Vali Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 1001078-15 Wisconsin

Profile Details

NPI number 1891174967
LBN Legal business name Belgium Family Dental
DBA Doing business as East Towne Dental Associates
Authorized official Kiaie, Vali Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 10 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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