# OJH CLINIC NO 5 INC.-BURLINGTON FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1013091776
- **Authorized official:** DR. OTTO J HANSSEN DDS (OWNER)
- **Authorized official phone:** (360) 755-5600

## Contact information

- **Practice address:** 1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
- **Practice address phone:** (360) 755-7566
- **Practice address fax:** (360) 755-9384
- **Mailing address:** 1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
- **Mailing address phone:** (360) 755-7566
- **Mailing address fax:** (360) 755-9384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020