DANA ERIC OTTERHOLT

MOUNT VERNON, WA
NPI1457399271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  4962)
Enumeration Date2006-06-03
Last Update Date2007-07-08
Business Address
Dr. DANA ERIC OTTERHOLT D.D.S.
104 N 15TH ST
MOUNT VERNON, WA 98273-3405
Phone number: 360-424-9045
Mailing Address
Dr. DANA ERIC OTTERHOLT D.D.S.
4002 RIDGE WAY
MOUNT VERNON, WA 98273-9452
Phone number: 360-424-8804