# OJH CLINIC NO 3 INC - MONROE FAMILY DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962599316
- **Authorized official:** DR. OTTO J HANSSEN DDS (OWNER DENTIST)
- **Authorized official phone:** (253) 630-4081

## Contact information

- **Practice address:** 19071 HWY 2, MONROE, WA 98272
- **Practice address phone:** (360) 794-8000
- **Practice address fax:** (360) 794-6257
- **Mailing address:** 19071 HWY 2, MONROE, WA 98272
- **Mailing address phone:** (360) 794-8000
- **Mailing address fax:** (360) 794-6257

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020