Mountain Smiles - Longview Dental, Pllc

NPI #1528867108 in Longview, Washington

Provider Information

NPI Number
1528867108
Entity Type
Organization
Organization Name
Mountain Smiles - Longview Dental, Pllc
Primary Specialty
Dentist
Enumeration Date
Mar 7, 2025
Last Updated
Mar 7, 2025

Practice Location

Address
900 FIR ST STE 1D
ZIP Code
98632-2544
Phone
(360) 261-6094

Authorized Official

Name
ANGEL GIMENEZ
Title
CREDENTIALING SENIOR MANAGER
Phone
(719) 300-5933

Specialties & Taxonomy Codes

Specialty
Dentist - Dental AnesthesiologyDental Anesthesiology
Dentist - EndodonticsEndodontics
Dentist - General PracticeGeneral Practice
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology
Dentist - PeriodonticsPeriodontics
Dentist - ProsthodonticsProsthodontics
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Denturist
Dental Hygienist
Dental Assistant
Dentist

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