Individual
DR. GREGORY DIETRICH GOESSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2815 WILLETTA ST SW, STE #A1, ALBANY, OR 97321-3470
(541) 924-1086
(541) 924-1174
Mailing address
2815 WILLETTA ST SW, STE #A1, ALBANY, OR 97321-3470
(541) 924-1086
(541) 924-1174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9546
OR
1223G0001X
General Practice Dentistry
DE60175310
WA
Other
Enumeration date
12/20/2010
Last updated
01/27/2011
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