Individual
BRADEN H. GISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
742 CAMANO AVE, LANGLEY, WA 98260-9570
(360) 221-6373
Mailing address
742 CAMANO AVE, LANGLEY, WA 98260-9570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60172172
WA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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