# SNOQUALMIE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1548716830
- **Authorized official:** PETER J RISTUBEN DDS (OWNER/DENTIST)
- **Authorized official phone:** (425) 888-2684

## Contact information

- **Practice address:** 38475 SE RIVER STREET, SNOQUALMIE, WA 98065
- **Practice address phone:** (425) 888-2684
- **Practice address fax:** (425) 831-2119
- **Mailing address:** PO BOX 1974, SNOQUALMIE, WA 98065-1974
- **Mailing address phone:** (425) 888-2684
- **Mailing address fax:** (425) 831-2119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE00006388 | WA | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 08/28/2016