# CHRISTOPHER P KOONTZ, DDS, PS

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

## Provider details

- **NPI number:** 1770099988
- **Authorized official:** CHRISTOPHER PARCO KOONTZ DDS (PRESIDENT)
- **Authorized official phone:** (360) 825-2191

## Contact information

- **Practice address:** 2617 GRIFFIN AVE, ENUMCLAW, WA 98022
- **Practice address phone:** (360) 825-2191
- **Practice address fax:** (360) 825-1830
- **Mailing address:** 2617 GRIFFIN AVE, ENUMCLAW, WA 98022-2380
- **Mailing address phone:** (360) 825-2191
- **Mailing address fax:** (360) 825-1830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60578279 | WA | Yes |

## Other

- **Enumeration date:** 12/26/2017
- **Last updated:** 12/26/2017