Organization
G.L. WINCHELL D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD LYNN WINCHELL D.D.S. (PRESIDENT)
(360) 577-8880
Entity
Organization
Contact information
Practice address
843 12TH AVE, SUITE A, LONGVIEW, WA 98632-2457
(360) 577-8880
(360) 575-9120
Mailing address
843 12TH AVE, SUITE A, LONGVIEW, WA 98632-2457
(360) 577-8880
(360) 575-9120
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004996
WA
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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