# DONALD G. ECHOLS DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cowlitz Periodontal care & Implant surgary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205176864
- **Authorized official:** DR. DONALD G ECHOLS DDS (OWNER)
- **Authorized official phone:** (360) 423-8000

## Contact information

- **Practice address:** 1703 HUDSON ST, LONGVIEW, WA 98632-2912
- **Practice address phone:** (360) 423-8000
- **Mailing address:** 1703 HUDSON ST, LONGVIEW, WA 98632-2912
- **Mailing address phone:** (360) 423-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6463 | WA | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | 6463 | WA | — |

## Other

- **Enumeration date:** 02/19/2013
- **Last updated:** 02/19/2013