Organization
CHRISTOPHER P KOONTZ, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER PARCO KOONTZ DDS (PRESIDENT)
(360) 825-2191
Entity
Organization
Contact information
Practice address
2617 GRIFFIN AVE, ENUMCLAW, WA 98022
(360) 825-2191
(360) 825-1830
Mailing address
2617 GRIFFIN AVE, ENUMCLAW, WA 98022-2380
(360) 825-2191
(360) 825-1830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60578279
WA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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