Organization
BRADEN H GISWOLD DDS PLLC
Active
Other names
Saratoga Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADEN HIROSHI GISWOLD D.D.S. (OWNER)
(360) 221-6373
Entity
Organization
Contact information
Practice address
742 CAMANO AVE STE 101A, LANGLEY, WA 98260-9570
(360) 221-6373
(360) 221-6375
Mailing address
742 CAMANO AVE STE 101A, LANGLEY, WA 98260-9570
(360) 221-6373
(360) 221-6375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60172172
WA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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