| Charles Meyer Gooss, Dmd, P.c. | |
|
102 N Fair Ave Ste 102 Yakima WA 98901-4543 | |
| (509) 469-0875 | |
| Not Available |
| Full Name | Charles Meyer Gooss, Dmd, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 102 N Fair Ave Ste 102, Yakima, Washington |
| Authorized Official Name and Position | Charles M. Gooss (PRACTICE OWNER) |
| Authorized Official Contact | 5094690875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Meyer Gooss, Dmd, P.c. 102 N Fair Ave Ste 102 Yakima WA 98901-4543 Ph: (509) 469-0875 | Charles Meyer Gooss, Dmd, P.c. 102 N Fair Ave Ste 102 Yakima WA 98901-4543 Ph: (509) 469-0875 |
| NPI Number | 1801030309 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801030309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE 60034731 (Washington) | Primary |
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