Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Costa Verde 3-D Imaging Center, PLLC

Organization Dentist · NPI 1477983450

Costa Verde 3-D Imaging Center, PLLC is a Dentist in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 Harrison Ave NW
Olympia, WA 98502-5349
Phone: (360) 943-5551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7093 (WA)

Record details

NPI number1477983450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angel Vega — Owner · (360) 943-5551
NPI enumeratedNovember 12, 2013
Last updated in NPPESNovember 12, 2013
Mailing address1320 Harrison Ave Nw, Olympia, WA 98502-5349

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