Individual
PETER DAVID GAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3425 ENSIGN RD NE, SUITE 310, OLYMPIA, WA 98506-5425
(360) 456-5678
(360) 456-1238
Mailing address
3425 ENSIGN RD NE, SUITE 310, OLYMPIA, WA 98506-5425
(360) 456-5678
(360) 456-1238
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE 60216311
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR 60096073
WA
Other
Enumeration date
07/29/2009
Last updated
07/25/2013
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