# NICOLAS K REEP DDS PS

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

## Provider details

- **NPI number:** 1093844953
- **Authorized official:** NICOLAS KARL REEP DDS (OWNER/ DENTIST)
- **Authorized official phone:** (509) 248-0986

## Contact information

- **Practice address:** 3804 KERN WAY, SUITE A, YAKIMA, WA 98902-6336
- **Practice address phone:** (509) 248-0986
- **Practice address fax:** (509) 248-1160
- **Mailing address:** 3804 KERN WAY, SUITE A, YAKIMA, WA 98902-6336
- **Mailing address phone:** (509) 248-0986
- **Mailing address fax:** (509) 248-1160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 10122 | WA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 06/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5048152 | — | WA |