G.l. Winchell D.d.s., P.s. | |
843 12th Ave Suite A Longview WA 98632-2457 | |
(360) 577-8880 | |
(360) 575-9120 |
Full Name | G.l. Winchell D.d.s., P.s. |
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Speciality | Clinic/center - Dental |
Location | 843 12th Ave, Longview, Washington |
Authorized Official Name and Position | Gerald Lynn Winchell (PRESIDENT) |
Authorized Official Contact | 3605778880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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G.l. Winchell D.d.s., P.s. 843 12th Ave Suite A Longview WA 98632-2457 Ph: (360) 577-8880 | G.l. Winchell D.d.s., P.s. 843 12th Ave Suite A Longview WA 98632-2457 Ph: (360) 577-8880 |
NPI Number | 1427171818 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427171818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE00004996 (Washington) | Primary |
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