| Trisha T. Goldsby D.d.s., P.s. | |
|
388 Sw 13th St Chehalis WA 98532-3609 | |
| (360) 748-6624 | |
| (360) 748-4132 |
| Full Name | Trisha T. Goldsby D.d.s., P.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 388 Sw 13th St, Chehalis, Washington |
| Authorized Official Name and Position | Trisha Terumi Goldsby (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3607486624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha T. Goldsby D.d.s., P.s. Po Box 120 Chehalis WA 98532-0120 Ph: (360) 748-6624 | Trisha T. Goldsby D.d.s., P.s. 388 Sw 13th St Chehalis WA 98532-3609 Ph: (360) 748-6624 |
| NPI Number | 1578893590 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578893590 | NPI | - | NPPES |
| 5036678 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00009040 (Washington) | Primary |
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