Individual
DR. GERALD MELVIN BINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
204 S MAIN, COLFAX, WA 99111
(509) 397-2951
(509) 397-6772
Mailing address
PO BOX 596, COLFAX, WA 99111
(509) 397-2951
(509) 397-6772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5222WA
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501
WASHINGTON DENTAL SERVICE
—
01
—
5550108
MEDICAID DSHS
WA
01
—
82214
DEPT LABOR & INDUSTRIES
WA
Enumeration date
09/27/2006
Last updated
07/08/2007
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