Individual
MRS. JULIA GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2020 9TH AVE, LONGVIEW, WA 98632-4072
(360) 423-5580
(360) 425-5596
Mailing address
2020 9TH AVE, LONGVIEW, WA 98632-4072
(360) 423-5580
(360) 423-5596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60299927
WA
Other
Enumeration date
07/27/2012
Last updated
11/28/2022
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