# BAHIA &BAL PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407082688
- **Authorized official:** DR. AMRINDER PS BAHIA DMD (PRESIDENT)
- **Authorized official phone:** (253) 383-2300

## Contact information

- **Practice address:** 1019 DIVISION AVE, TACOMA, WA 98403-1633
- **Practice address phone:** (253) 383-2300
- **Mailing address:** 1019 DIVISION AVE, TACOMA, WA 98403-1633
- **Mailing address phone:** (253) 383-2300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10996 | WA | Yes |
| 261QD0000X | Dental Clinic/Center | 9290 | WA | — |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 06/02/2009