Individual
DR. GREG BRIAN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
12711 S.E. MILL PLAIN BLVD., VANCOUVER, WA 98684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5466
WA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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