# PRIYA MISTRY DDS PC

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

## Provider details

- **NPI number:** 1033095450
- **Authorized official:** PRIYA PATIL MISTRY DDS (CEO/OWNER)
- **Authorized official phone:** (503) 255-8293

## Contact information

- **Practice address:** 16415 SE 15TH ST, SUITE 103, VANCOUVER, WA 98683
- **Practice address phone:** (503) 255-8293
- **Practice address fax:** (503) 252-1214
- **Mailing address:** 12518 SE 24TH ST, VANCOUVER, WA 98683
- **Mailing address phone:** (425) 256-0481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2025
- **Last updated:** 08/12/2025