# DENNIS A EDMONDS DDS INC PS

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

## Provider details

- **NPI number:** 1932100013
- **Authorized official:** DR. DENNIS A EDMONDS DDS (OWNER)
- **Authorized official phone:** (360) 336-6193

## Contact information

- **Practice address:** 219 N 10TH ST, MOUNT VERNON, WA 98273-3330
- **Practice address phone:** (360) 336-6193
- **Practice address fax:** (360) 336-6195
- **Mailing address:** 219 N 10TH ST, MOUNT VERNON, WA 98273-3330
- **Mailing address phone:** (360) 336-6193
- **Mailing address fax:** (360) 336-6195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00005415 | WA | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 08/22/2020