# OJH CLINIC \#4 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMOKEY POINT FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710052527
- **Authorized official:** DR. OTTO J HANSSEN (PRES OWNER)
- **Authorized official phone:** (360) 658-3000

## Contact information

- **Practice address:** 3533 172ND ST NE, BLDG B, ARLINGTON, WA 98223
- **Practice address phone:** (360) 658-3000
- **Practice address fax:** (360) 653-1560
- **Mailing address:** 3533 172ND ST NE, BLDG B, ARLINGTON, WA 98223
- **Mailing address phone:** (360) 658-3000
- **Mailing address fax:** (360) 653-1560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5262 | WA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020