Organization
OJH CLINIC #4 INC
Active
Other names
SMOKEY POINT FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO J HANSSEN (PRES OWNER)
(360) 658-3000
Entity
Organization
Contact information
Practice address
3533 172ND ST NE, BLDG B, ARLINGTON, WA 98223
(360) 658-3000
(360) 653-1560
Mailing address
3533 172ND ST NE, BLDG B, ARLINGTON, WA 98223
(360) 658-3000
(360) 653-1560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5262
WA
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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