Nate Repta Dmd Ps

NPI #1265088041 in Washougal, Washington

Provider Information

NPI Number: 1265088041
Entity Type: Organization
Organization Name: Nate Repta Dmd Ps
Primary Specialty: Dentist
Enumeration Date: Aug 16, 2019
Last Updated: Aug 16, 2019

Practice Location

Address: 275 PENDLETON WAY
City: Washougal
State: Washington
ZIP Code: 98671-4203
Phone: (503) 453-3641

Authorized Official

Name: NATE REPTA, DMD
Title: SHAREHOLDER
Phone: (503) 453-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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