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Organization

MOUNTAIN VISTA DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUTH G KOSMASKI DDS (OWNER)
(509) 493-2244
Entity
Organization

Contact information

Practice address
640 N MAIN AVE, WHITE SALMON, WA 98672-8751
(509) 493-2244
(509) 493-2242
Mailing address
640 N MAIN AVE, P.O. BOX 491, WHITE SALMON, WA 98672-8751
(509) 493-2244
(509) 493-2242

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 00010839
WA

Other

Enumeration date
12/04/2014
Last updated
12/04/2014
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