# HARBOR DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Harbor Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780655514
- **Authorized official:** GLEN STUART NOMURA (OWNER)
- **Authorized official phone:** (360) 533-0882

## Contact information

- **Practice address:** 222 E 1ST ST, ABERDEEN, WA 98520-5218
- **Practice address phone:** (360) 533-0882
- **Practice address fax:** (360) 533-1314
- **Mailing address:** 222 E 1ST ST, ABERDEEN, WA 98520-5218
- **Mailing address phone:** (360) 533-0882
- **Mailing address fax:** (360) 533-1314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 28776 | CA | — |
| 122300000X | Dentist | 5605 | WA | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 08/27/2024