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Organization
OTTO W. GEISSLER, D.D.S., INC.
Active
Organization
OTTO W. GEISSLER, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO W GEISSLER III D.D.S. (PRESIDENT)
(209) 722-2435
Entity
Organization
Contact information
Practice address
1132 OLIVEWOOD DR, MERCED, CA 95348-1210
(209) 722-2435
(209) 722-7671
Mailing address
1132 OLIVEWOOD DR, MERCED, CA 95348-1210
(209) 722-2435
(209) 722-7671
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
808534
UNITED CONCORDIA
CA
05
—
B18834-01
—
CA
Enumeration date
07/18/2007
Last updated
07/18/2007
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