Individual
DR. DAVID ERIC HOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
306 VINE ST, KELSO, WA 98626-2314
(360) 577-3625
(360) 414-9402
Mailing address
306 VINE ST, KELSO, WA 98626-2314
(360) 577-3625
(360) 414-9402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5003157
—
WA
Enumeration date
09/06/2006
Last updated
07/08/2007
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