Organization
KEITH GRESSELL DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH MICHAEL GRESSELL DMD (OWNER)
(210) 426-6714
Entity
Organization
Contact information
Practice address
4904 BORGEN BLVD STE A, GIG HARBOR, WA 98332-5723
(210) 426-6714
Mailing address
4621 76TH AVENUE CT NW, GIG HARBOR, WA 98335-6562
(210) 426-6714
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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