Gary T Gregg, Dds Ps

NPI 1063666832 - Clinic/Center - 261QD0000X

NPI Details
NPI 1063666832
Enumeration Date 11/06/2008
Last Updated 11/06/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GARY THOMAS GARY
Position PRESIDENT
Phone (360) 750-1385
Fax
Practice Location
700 N DEVINE RD
SUITE A
VANCOUVER WA, 98661-6964, US
Phone (360) 750-1385
Fax
Business Location
700 N DEVINE RD
SUITE A
VANCOUVER WA, 98661-6964, US
Phone (360) 750-1385
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Washington
License Number 600 477 520
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According to our database, Gary T Gregg, Dds Ps NPI is 1063666832, taxonomy code is 261QD0000X and license number is 600 477 520, license state is located at Washington. Gary T Gregg, Dds Ps physically located at 700 N Devine Rd, Vancouver WA, 98661-6964. NPI Number 1033115704 has the healthcare provider type.

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1063666832 NPI number is provided on an as is basis without warranty of any kind. 1063666832 is maintained by the National Plan & Provider Enumeration System. The contents of Gary T Gregg, Dds Ps are for informational purposes only.