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Organization

TRISHA T. GOLDSBY D.D.S., P.S.

Active
Parent organization
TRISHA T. GOLDSBY D.D.S., P.S.
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRISHA T. GOLDSBY D.D.S., P.S.
Authorized official
DR. TRISHA TERUMI GOLDSBY D.D.S., P.S. (DENTIST/PRESIDENT)
(360) 748-6624
Entity
Organization

Contact information

Practice address
388 SW 13TH ST, CHEHALIS, WA 98532-3609
(360) 748-6624
(360) 748-4132
Mailing address
PO BOX 120, CHEHALIS, WA 98532-0120
(360) 748-6624
(360) 748-4132

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009040
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5036678
WA
Enumeration date
01/14/2010
Last updated
01/14/2010
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