# DRS. OTTOSEN AND NYGARD, PLLC

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

## Provider details

- **NPI number:** 1508316910
- **Authorized official:** STEPHEN R. OTTOSEN DDS, MSD (OWNER)
- **Authorized official phone:** (509) 664-6669

## Contact information

- **Practice address:** 1001 W BROADWAY AVE, MOSES LAKE, WA 98837-2604
- **Practice address phone:** (509) 766-8968
- **Practice address fax:** (509) 766-8967
- **Mailing address:** 1001 W BROADWAY AVE, MOSES LAKE, WA 98837-2604
- **Mailing address phone:** (509) 766-8968
- **Mailing address fax:** (509) 766-8967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 604-034-843 | WA | Yes |

## Other

- **Enumeration date:** 10/10/2016
- **Last updated:** 10/10/2016