# TRENT VELTKAMP DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Veltkamp Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992097455
- **Authorized official:** DR. TRENT D VELTKAMP DDS (PRESIDENT)
- **Authorized official phone:** (360) 354-5691

## Contact information

- **Practice address:** 1610 GROVER ST, SUITE C-1, LYNDEN, WA 98264-1539
- **Practice address phone:** (360) 354-5691
- **Mailing address:** 1610 GROVER ST, SUITE C-1, LYNDEN, WA 98264-1539
- **Mailing address phone:** (360) 354-5691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9699 | WA | Yes |

## Other

- **Enumeration date:** 05/03/2011
- **Last updated:** 05/03/2011