# GUNTER & MESSICK DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadway Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811403751
- **Authorized official:** DR. LANCE JAMES GUNTER D.D.S. (DENTIST)
- **Authorized official phone:** (360) 249-3151

## Contact information

- **Practice address:** 208 E. BROADWAY, MONTESANO, WA 98563
- **Practice address phone:** (360) 249-3151
- **Practice address fax:** (360) 249-5129
- **Mailing address:** 208 E. BROADWAY, MONTESANO, WA 98563
- **Mailing address phone:** (360) 249-3151
- **Mailing address fax:** (360) 249-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60663731 | WA | Yes |

## Other

- **Enumeration date:** 12/14/2017
- **Last updated:** 12/14/2017