# PETER D. GAUGER DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tacoma Oral Surgery & Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225437619
- **Authorized official:** DR. PETER DAVID GAUGER DDS (OWNER)
- **Authorized official phone:** (253) 572-4601

## Contact information

- **Practice address:** 1550 S UNION AVE STE 250, TACOMA, WA 98405-1946
- **Practice address phone:** (253) 572-4601
- **Practice address fax:** (253) 572-4769
- **Mailing address:** 1550 S UNION AVE STE 250, TACOMA, WA 98405-1946
- **Mailing address phone:** (253) 572-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE 60216311 | WA | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 02/08/2024
