# KIRAN MISTRY, DDS, P.L.L.C.

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

## Provider details

- **NPI number:** 1568381259
- **Authorized official:** KIRAN MISTRY DDS (OWNER)
- **Authorized official phone:** (714) 496-0682

## Contact information

- **Practice address:** 203 NE 179TH ST STE 108, RIDGEFIELD, WA 98642-5758
- **Practice address phone:** (714) 496-0682
- **Mailing address:** 12518 SE 24TH ST, VANCOUVER, WA 98683-3825
- **Mailing address phone:** (714) 496-0682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 10/09/2026