# LIZA MATHIAS DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Uptown Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649754284
- **Authorized official:** MARY F TOEWS (OFFICE MANAGER)
- **Authorized official phone:** (360) 385-4700

## Contact information

- **Practice address:** 642 HARRISON ST, PORT TOWNSEND, WA 98368-6518
- **Practice address phone:** (360) 385-4700
- **Practice address fax:** (360) 379-9730
- **Mailing address:** 642 HARRISON ST, PORT TOWNSEND, WA 98368-6518
- **Mailing address phone:** (360) 385-4700
- **Mailing address fax:** (360) 379-9730

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2018
- **Last updated:** 09/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1306368170 | ADRIAN R. OLSON, DDS | WA |
| 01 | — | 1518015163 | STEVEN J. SCHARF, DDS | WA |