Pt. Defiance Dental Clinic And Lab

LBN: Pt. Defiance Dental Clinic And Lab
Pt. Defiance Dental Clinic And Lab is an health care organization with primary practice located at 5904 N 45Th St , Tacoma WA 98407-1902. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Denturist. Dental Providers / Denturist is the primary health care specialty. Pt. Defiance Dental Clinic And Lab can be contacted via phone (253) 238-1783, or through Kochubey, Sofya V via phone (253) 238-1783.

Contact Information

Primary practice address
5904 N 45Th St Tacoma WA 98407-1902
Phone: (253) 238-1783
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kochubey, Sofya V
Phone: (253) 238-1783

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X WA8905 Washington
Dental Providers / Denturist 122400000X DN60141899 Washington

Profile Details

NPI number 1467874917
LBN Legal business name Pt. Defiance Dental Clinic And Lab
DBA Doing business as
Authorized official Kochubey, Sofya V
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2014
Last updated Jan 16th, 2014 - 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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