Individual
DR. WAYNE GERGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19720 68TH AVE W, LYNNWOOD, WA 98036-4568
(806) 679-1788
Mailing address
110 W 6TH AVE STE 161, ELLENSBURG, WA 98926-3106
(806) 679-1788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7329
NE
122300000X
Dentist
Primary
DE60771319
WA
Other
Enumeration date
08/31/2016
Last updated
03/08/2022
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