# COLUMBIA ENDODONTIC GROUP, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ardon L. Overby, DMD and David S. Mehlhaff, DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174617724
- **Authorized official:** DAVID AKIO KOSA D.D.S. (TREASURER)
- **Authorized official phone:** (360) 699-1101

## Contact information

- **Practice address:** 5015 NE ST. JOHNS ROAD, VANCOUVER, WA 98661
- **Practice address phone:** (360) 699-1101
- **Practice address fax:** (360) 695-3152
- **Mailing address:** 5015 NE ST. JOHNS ROAD, VANCOUVER, WA 98661
- **Mailing address phone:** (360) 699-1101
- **Mailing address fax:** (360) 695-3152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020