Mountain Vista Dental

NPI #1861899957 in White Salmon, Washington

Provider Information

NPI Number: 1861899957
Entity Type: Organization
Organization Name: Mountain Vista Dental
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2014
Last Updated: Dec 4, 2014

Practice Location

Address: 640 N MAIN AVE
City: White Salmon
State: Washington
ZIP Code: 98672-8751
Phone: (509) 493-2244

Authorized Official

Name: RUTH G KOSMASKI, DDS
Title: OWNER
Phone: (509) 493-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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