# WENATCHEE DENTAL ARTS

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

## Provider details

- **NPI number:** 1689348583
- **Authorized official:** DR. JOHN DIVIS DDS, PS (OWNER)
- **Authorized official phone:** (509) 664-2920

## Contact information

- **Practice address:** 417 N MISSION ST, WENATCHEE, WA 98801-2007
- **Practice address phone:** (509) 664-2920
- **Practice address fax:** (509) 663-1453
- **Mailing address:** 417 N MISSION ST, WENATCHEE, WA 98801-2007
- **Mailing address phone:** (509) 664-2920
- **Mailing address fax:** (509) 663-1453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2021
- **Last updated:** 08/04/2021