Southwest GD Dental Corp, PC

Organization Active NPI Dentist · Vancouver, WA

NPI 1891900452 · NPPES record last updated Jun 27, 2014

Key facts

NPI
1891900452
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
SOUTHWEST GD DENTAL CORP, PC
Practice address
1101 SE Tech Center Drive, Suite 195
Vancouver, WA 98683
Phone
(360) 449-5670
Fax
(360) 449-5693
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

Name
Dr. Karen Feldman, DDS
Title
President
Phone
(360) 449-5700

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Dba Gentle Dental (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X Yes

Addresses

Primary practice location

1101 SE Tech Center Drive, Suite 195
Vancouver, WA 98683

Mailing address

1101 SE Tech Center Drive, Suite 195
Vancouver, WA 98683
Phone (360) 449-5700

Other names

  • dba Gentle Dental Doing business as

Other providers in Vancouver, WA

All providers in Vancouver, WA · Dentist in Washington

Sources for this page

Verify at the official NPI Registry.