Individual
MARLENE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
663 WAPATO LAKE RD, MANSON, WA 98831-9551
(509) 273-4993
Mailing address
663 WAPATO LAKE RD, MANSON, WA 98831-9551
(509) 273-4993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61631858
WA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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