G.l. Winchell D.d.s., P.s.

NPI 1427171818 - Clinic/Center - 261QD0000X

NPI Details
NPI 1427171818
Enumeration Date 04/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD LYNN GERALD
Position PRESIDENT
Phone (360) 577-8880
Fax (360) 575-9120
Practice Location
843 12TH AVE
SUITE A
LONGVIEW WA, 98632-2457, US
Phone (360) 577-8880
Fax (360) 575-9120
Business Location
843 12TH AVE
SUITE A
LONGVIEW WA, 98632-2457, US
Phone (360) 577-8880
Fax (360) 575-9120
Toxanomy
Taxonomy Code 261QD0000X
License State Washington
License Number DE00004996
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According to our database, G.l. Winchell D.d.s., P.s. NPI is 1427171818, taxonomy code is 261QD0000X and license number is DE00004996, license state is located at Washington. G.l. Winchell D.d.s., P.s. physically located at 843 12th Ave, Longview WA, 98632-2457. NPI Number 1033115704 has the healthcare provider type.

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1427171818 NPI number is provided on an as is basis without warranty of any kind. 1427171818 is maintained by the National Plan & Provider Enumeration System. The contents of G.l. Winchell D.d.s., P.s. are for informational purposes only.