DR. Dana Eric Otterholt, D.D.S.
NPI #1457399271 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1457399271
- Entity Type
- Individual
- Name
- DR. Dana Eric Otterholt, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 104 N 15TH ST
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-3405
- Phone
- (360) 424-9045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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