Organization
OJH CLINIC NO 1 INC
Active
Other names
Covington Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO J HANSSEN DDS (DENTIST OWNER)
(253) 630-4400
Entity
Organization
Contact information
Practice address
17224 SE 272ND STREET, COVINGTON, WA 98042
(253) 630-4400
(253) 631-2267
Mailing address
17224 SE 272ND STREET, COVINGTON, WA 98042
(253) 630-4400
(253) 631-2267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5262
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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