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Organization
DRS. OTTOSEN AND NYGARD, PLLC
Active
Organization
DRS. OTTOSEN AND NYGARD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R. OTTOSEN DDS, MSD (OWNER)
(509) 664-6669
Entity
Organization
Contact information
Practice address
1001 W BROADWAY AVE, MOSES LAKE, WA 98837-2604
(509) 766-8968
(509) 766-8967
Mailing address
1001 W BROADWAY AVE, MOSES LAKE, WA 98837-2604
(509) 766-8968
(509) 766-8967
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
604-034-843
WA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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