# HALF DENTAL WA INC.

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

## Provider details

- **NPI number:** 1467895870
- **Authorized official:** TRACY TRAN MPH (MANAGER)
- **Authorized official phone:** (702) 876-2525

## Contact information

- **Practice address:** 910 NE MINNEHAHA ST STE 12, VANCOUVER, WA 98665-8749
- **Practice address phone:** (702) 876-2525
- **Practice address fax:** (702) 876-1686
- **Mailing address:** 910 NE MINNEHAHA ST STE 12, VANCOUVER, WA 98665-8749
- **Mailing address phone:** (702) 876-2525
- **Mailing address fax:** (702) 876-1686

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 07/25/2013
