Bella Vista Denture Clinic, Pllc

LBN: Belle Vista Denture Clinic, Pllc
Bella Vista Denture Clinic, Pllc is an health care organization with primary practice located at 3609 W Nob Hill Blvd Suite 103, Yakima WA 98902-4744. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Belle Vista Denture Clinic, Pllc can be contacted via phone (509) 786-2963, or through Brooks, Joshua D via phone (509) 786-2963.

Contact Information

Primary practice address
3609 W Nob Hill Blvd Suite 103 Yakima WA 98902-4744
Fax: (888) 656-9322
Website:
Authorized official contact:
Name: Brooks, Joshua D

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X

Profile Details

NPI number 1104019660
LBN Legal business name Belle Vista Denture Clinic, Pllc
DBA Doing business as Bella Vista Denture Clinic, Pllc
Authorized official Brooks, Joshua D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2007
Last updated Aug 19th, 2007 - about 17 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 1104019660 NPPES
Washington MEDICAID 5049218

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