Organization
JEREMY P. KOONTZ DMD, P.L.L.C.
Active
Other names
Northwest Smile Design
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY PARCO KOONTZ DMD (OWNER)
(360) 658-7750
Entity
Organization
Contact information
Practice address
5100 GROVE ST STE B, MARYSVILLE, WA 98270-4492
(360) 658-7750
(360) 658-1297
Mailing address
5100 GROVE ST STE B, MARYSVILLE, WA 98270-4492
(360) 658-7750
(360) 658-1297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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