# GEETIKA CHAWLA BDS MDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ayur TMJ and Craniofacial Pain Clinic & Dental Sleep Medicine Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538518105
- **Authorized official:** DR. DR. GEETIKA CHAWLA BDS MDS (OWNER)
- **Authorized official phone:** (360) 836-8398

## Contact information

- **Practice address:** 217 SE 136TH AVE, SUITE 103, VANCOUVER, WA 98684-6907
- **Practice address phone:** (360) 836-8398
- **Practice address fax:** (360) 836-8298
- **Mailing address:** 217 SE 136TH AVE, SUITE 103, VANCOUVER, WA 98684-6907
- **Mailing address phone:** (360) 836-8398
- **Mailing address fax:** (360) 836-8298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8900 | WA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 03/08/2017