Individual
SAMUEL P GESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
161 E 3RD AVE, COLVILLE, WA 99114-2905
(509) 684-1440
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61565749
WA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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