Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis,

LBN: Pleasant Valley Dental
Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis, is an health care organization with primary practice located at 6400 Pleasant Valley Rd , El Dorado CA 95623-4230. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pleasant Valley Dental can be contacted via phone (530) 622-2862, or through Goodis, Mitchell A via phone (530) 344-0290.

Contact Information

Primary practice address
6400 Pleasant Valley Rd El Dorado CA 95623-4230
Fax: (530) 622-2072
Website:
Authorized official contact:
Name: Goodis, Mitchell A Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D43010 California

Profile Details

NPI number 1790921989
LBN Legal business name Pleasant Valley Dental
DBA Doing business as Pleasant Valley Dental, General Dental Practice Of Mitchell A. Goodis,
Authorized official Goodis, Mitchell A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2008
Last updated Sep 28th, 2010 - 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 1790921989 NPPES
California Other 1854195417 NPI FROM PRIMARY OFFICE AT DIAMOND SPRINGS DENTAL CENTER

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