Individual
DR. NATANAEL REPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 PENDLETON WAY, WASHOUGAL, WA 98671
(360) 835-3738
Mailing address
275 PENDLETON WAY, WASHOUGAL, WA 98671-4203
(360) 835-3738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10109
OR
Other
Enumeration date
08/05/2014
Last updated
08/27/2019
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