Victoria Tucker Otterholt D.D.S.

NPI 1780639740 - Dentist - 1223G0001X

NPI Details
NPI 1780639740
Gender Female
Enumeration Date 05/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
104 N 15TH ST
MOUNT VERNON WA, 98273-3405, US
Phone (360) 424-9045
Business Location
MOUNT VERNON WA, 98273-9452, US
Phone (360) 424-8804
Taxonomy Code 1223G0001X
License State Washington
License Number 4963
Remove 1780639740 NPI Number

According to our database, Dr. Victoria Tucker Otterholt D.D.S. NPI is 1780639740, taxonomy code is 1223G0001X and license number is 4963, license state is located at Washington. Victoria Tucker Otterholt D.D.S. physically located at 104 N 15th St, Mount Vernon WA, 98273-3405. NPI Number Victoria Tucker Otterholt D.D.S. has the Individual type.

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1780639740 NPI number is provided on an as is basis without warranty of any kind. 1780639740 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria Tucker Otterholt D.D.S. are for informational purposes only.