OrganizationActive
Custom Dentures LLC
NPI 1093965600 · Denturist · Vancouver, WA
Provider details
- NPI number
- 1093965600
- Entity type
- Organization
- Primary specialty
- DenturistDental Providers
- Organization subpart
- No
- Authorized official
- Cameron Fettig, Business Manager(360) 883-9888
- License
- DN00000393 (WA)
Specialties & taxonomies
Dental Providers
Practice location
13720 Ne 28th St
#b
Vancouver, WA 98682-8048
Phone: (360) 883-9888
Fax: (360) 883-9909
Approximate (ZIP-level) locationGet directions
Mailing address
13720 Ne 28th St
Vancouver, WA 98682-8048
Registry dates
- Enumerated
- 2008-09-19
- Last updated
- 2008-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.