Provider Demographics
NPI:1093120370
Name:GLEN E TRINKA DDS PLLC
Entity Type:Organization
Organization Name:GLEN E TRINKA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-486-2787
Mailing Address - Street 1:19214 BOTHELL WAY NE
Mailing Address - Street 2:STE B
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-6066
Mailing Address - Country:US
Mailing Address - Phone:425-486-2787
Mailing Address - Fax:425-402-8832
Practice Address - Street 1:19214 BOTHELL WAY NE
Practice Address - Street 2:STE B
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-6066
Practice Address - Country:US
Practice Address - Phone:425-486-2787
Practice Address - Fax:425-402-8832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty