Organization
OJH CLINIC NO 5 INC.-BURLINGTON FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO J HANSSEN DDS (OWNER)
(360) 755-5600
Entity
Organization
Contact information
Practice address
1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
(360) 755-7566
(360) 755-9384
Mailing address
1250 S BURLINGTON BLVD, BURLINGTON, WA 98233-3316
(360) 755-7566
(360) 755-9384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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