| NPI | 1710052527 |
|---|---|
| Doing Business As | SMOKEY POINT FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | OTTO J HANSSEN Pres Owner 360-658-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 5262) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |