# PEDIATRIC DENTAL ANESTHESIOLOGISTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PDA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811680705
- **Authorized official:** DR. JOSEPH GERARD GUNSELMAN SR. DO (MEMBER)
- **Authorized official phone:** (509) 212-8098

## Contact information

- **Practice address:** 9711 N NEVADA ST, SPOKANE, WA 99218-3412
- **Practice address phone:** (509) 755-5437
- **Mailing address:** 920 W COMSTOCK CT, SPOKANE, WA 99203-1408
- **Mailing address phone:** (509) 212-8098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2023
- **Last updated:** 05/29/2023