Tri-Star Denture Clinic

LBN: Tri-Star Denture Clinic
Tri-Star Denture Clinic is an health care organization with primary practice located at 2802 Columbia St , Vancouver WA 98660-2220. 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. Tri-Star Denture Clinic can be contacted via phone (360) 906-0015, or through Deochand, Lenard Gobin via phone (360) 906-0015.

Contact Information

Primary practice address
2802 Columbia St Vancouver WA 98660-2220
Phone: (360) 906-0015
Fax: (360) 906-0023
Website:
Map and Directions
Authorized official contact:
Name: Deochand, Lenard Gobin LD, DD
Phone: (360) 906-0015

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X WA00008442 Washington
Dental Providers / Denturist 122400000X DN00000394 Washington

Profile Details

NPI number 1407176993
LBN Legal business name Tri-Star Denture Clinic
DBA Doing business as
Authorized official Deochand, Lenard Gobin LD, DD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2010
Last updated Jun 7th, 2010 - about 14 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 1407176993 NPPES
Oregon MEDICAID 278500
Oregon MEDICAID 5047667

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