Mountain Smiles, Pllc
NPI #1164228318 in Longview, Washington
Provider Information
- NPI Number
- 1164228318
- Entity Type
- Organization
- Organization Name
- Mountain Smiles, Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 19, 2025
- Last Updated
- Feb 27, 2025
Practice Location
- Address
- 820 OCEAN BEACH HWY STE 110
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-4081
- Phone
- (360) 577-0566
Authorized Official
- Name
- ANGEL GIMENEZ
- Title
- CREDENTIALING MANAGER
- Phone
- (719) 300-5933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Anesthesiology — Dental Anesthesiology |
| Dental Assistant |
| Dental Hygienist |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Denturist |
| Dentist |
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