Organization
W. CURTIS MATHISEN D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CURTIS MATHISEN D.D.S. (OWNER)
(509) 493-2244
Entity
Organization
Contact information
Practice address
640 N. MAIN ST., WHITE SALMON, WA 98672
(509) 493-2244
(509) 493-2242
Mailing address
P.O. BOX 447, WHITE SALMON, WA 98672
(509) 493-2244
(509) 493-2242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 00004769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5536305
—
WA
Enumeration date
07/15/2009
Last updated
07/15/2009
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