Custom Dentures Llc

LBN: Custom Dentures Llc
Custom Dentures Llc is an health care organization with primary practice located at 13720 Ne 28Th St #B, Vancouver WA 98682-8048. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Custom Dentures Llc can be contacted via phone (360) 883-9888, or through Fettig, Cameron L. via phone (360) 883-9888.

Contact Information

Primary practice address
13720 Ne 28Th St #B Vancouver WA 98682-8048
Phone: (360) 883-9888
Fax: (360) 883-9909
Website:
Map and Directions
Authorized official contact:
Name: Fettig, Cameron L.
Phone: (360) 883-9888

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000393 Washington

Profile Details

NPI number 1093965600
LBN Legal business name Custom Dentures Llc
DBA Doing business as
Authorized official Fettig, Cameron L.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 16 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 1093965600 NPPES
Washington MEDICAID 5047576

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