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Contact Information

A STREET DENTAL CLINIC
902 A ST SE
SUITE A
AUBURN, WA98002-6056
 Phone: 253-288-9608
 Fax: 253-288-9631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A STREET DENTAL CLINIC

NPI Number 1083799068
LBN Legal business name A STREET DENTAL CLINIC
Authorized official KEVIN LEUNG - (PRACTICE OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # 9810
WA Medicaid 5040621
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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