Custom Dental Inc

LBN: Custom Dental Inc
Custom Dental Inc is an health care organization with primary practice located at 1103 S 20Th Ave , Yakima WA 98902-5210. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Custom Dental Inc can be contacted via phone (509) 457-8768, or through Ford, Robert A via phone (509) 457-8768.

Contact Information

Primary practice address
1103 S 20Th Ave Yakima WA 98902-5210
Fax:
Website:
Authorized official contact:
Name: Ford, Robert A LDN

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000326 Washington

Profile Details

NPI number 1669667663
LBN Legal business name Custom Dental Inc
DBA Doing business as
Authorized official Ford, Robert A LDN
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 19 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.

Request for update

Popular Providers