# SCOTT M VAN DYKEN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Van Dyken Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285326512
- **Authorized official:** JENNY GARCIA-ROCHA (CREDENTIALING LEAD)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 606 E 8TH ST, PORT ANGELES, WA 98362-6224
- **Practice address phone:** (360) 457-3127
- **Mailing address:** 606 E 8TH ST, PORT ANGELES, WA 98362-6224
- **Mailing address phone:** (360) 457-3127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2023
- **Last updated:** 05/24/2023