| Mountain Smiles, PLLC | |
|
820 Ocean Beach Hwy Ste 110 Longview WA 98632-4081 | |
| (360) 577-0566 | |
| Not Available |
| Full Name | Mountain Smiles, PLLC |
|---|---|
| Speciality | Dentist |
| Location | 820 Ocean Beach Hwy Ste 110, Longview, Washington |
| Authorized Official Name and Position | Angel Gimenez (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7193005933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Smiles, PLLC 820 Ocean Beach Hwy Ste 110 Longview WA 98632-4081 Ph: (360) 577-0566 | Mountain Smiles, PLLC 820 Ocean Beach Hwy Ste 110 Longview WA 98632-4081 Ph: (360) 577-0566 |
| NPI Number | 1164228318 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164228318 | NPI | - | NPPES |
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