OrganizationActive
Custom Dental Inc
NPI 1669667663 · Denturist · Yakima, WA
Provider details
- NPI number
- 1669667663
- Entity type
- Organization
- Primary specialty
- DenturistDental Providers
- Organization subpart
- No
- Authorized official
- Robert Ford, President(509) 457-8768
- License
- DN00000326 (WA)
Specialties & taxonomies
Dental Providers
Practice location
1103 S 20th Ave
Yakima, WA 98902-5210
Phone: (509) 457-8768
Approximate (ZIP-level) locationGet directions
Mailing address
1103 S 20th Ave
Yakima, WA 98902-5210
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2007-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.