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Contact Information

PACIFIC AVENUE DENTAL
LBN DR ALLAN HABLUTZEL
820 PACIFIC AVE
STE 204
BREMERTON, WA98337
 Phone: 360-373-3515
 Fax: 360-373-2176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PACIFIC AVENUE DENTAL

NPI Number 1023123726
LBN Legal business name DR ALLAN HABLUTZEL
DBA Doing business as PACIFIC AVENUE DENTAL
Authorized official ALLAN HABLUTZEL - (DENTIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 05/08/2012 - About 7 years ago
Identifiers
WA License # 5706
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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