| Mountain Vista Dental | |
|
640 N Main Ave White Salmon WA 98672-8751 | |
| (509) 493-2244 | |
| (509) 493-2242 |
| Full Name | Mountain Vista Dental |
|---|---|
| Speciality | Dentist |
| Location | 640 N Main Ave, White Salmon, Washington |
| Authorized Official Name and Position | Ruth G Kosmaski (OWNER) |
| Authorized Official Contact | 5094932244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Dental 640 N Main Ave P.o. Box 491 White Salmon WA 98672-8751 Ph: (509) 493-2244 | Mountain Vista Dental 640 N Main Ave White Salmon WA 98672-8751 Ph: (509) 493-2244 |
| NPI Number | 1861899957 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861899957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 00010839 (Washington) | Primary |
W. Curtis Mathisen D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 N. Main St., White Salmon, WA 98672 Phone: 509-493-2244 Fax: 509-493-2242 | |
Staci L Hanson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Ne Estes, White Salmon, WA 98672 Phone: 509-493-2444 |