# DANIEL J MADDEN DDS PLLC

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

## Provider details

- **NPI number:** 1205685807
- **Authorized official:** DANIEL MADDEN DDS (MANAGER)
- **Authorized official phone:** (541) 490-3136

## Contact information

- **Practice address:** 2501 NE 134TH ST STE 202, VANCOUVER, WA 98686-3028
- **Practice address phone:** (360) 546-2695
- **Mailing address:** 636 W 6TH ST APT 404, VANCOUVER, WA 98660-2820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024