# STEPHEN R. OTTOSEN, D.D.S., M.S.D., P.S.

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

## Provider details

- **NPI number:** 1285087296
- **Authorized official:** DR. STEPHEN R. OTTOSEN D.D.S., M.S.D. (PRESIDENT)
- **Authorized official phone:** (509) 664-6669

## Contact information

- **Practice address:** 1010 5TH ST, WENATCHEE, WA 98801-1823
- **Practice address phone:** (509) 664-6669
- **Practice address fax:** (509) 665-0272
- **Mailing address:** 1010 5TH ST, WENATCHEE, WA 98801-1823
- **Mailing address phone:** (509) 664-6669
- **Mailing address fax:** (509) 665-0272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 00007277 | WA | Yes |

## Other

- **Enumeration date:** 07/14/2016
- **Last updated:** 07/14/2016