# W. CURTIS MATHISEN D.D.S.

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

## Provider details

- **NPI number:** 1437389160
- **Authorized official:** DR. WILLIAM CURTIS MATHISEN D.D.S. (OWNER)
- **Authorized official phone:** (509) 493-2244

## Contact information

- **Practice address:** 640 N. MAIN ST., WHITE SALMON, WA 98672
- **Practice address phone:** (509) 493-2244
- **Practice address fax:** (509) 493-2242
- **Mailing address:** P.O. BOX 447, WHITE SALMON, WA 98672
- **Mailing address phone:** (509) 493-2244
- **Mailing address fax:** (509) 493-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE 00004769 | WA | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 07/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5536305 | — | WA |