# LANGSDORF PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1457490112
- **Authorized official:** KIMBERLY L WRIGHT (BUSINESS MANAGER)
- **Authorized official phone:** (360) 892-1776

## Contact information

- **Practice address:** 11600 SE MILL PLAIN BLVD, SUITE J, VANCOUVER, WA 98684-5083
- **Practice address phone:** (360) 892-1776
- **Practice address fax:** (360) 892-8825
- **Mailing address:** 11600 SE MILL PLAIN BLVD, SUITE J, VANCOUVER, WA 98684-5083
- **Mailing address phone:** (360) 892-1776
- **Mailing address fax:** (360) 892-8825

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020