Individual
RICHARD JAMES GADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
711 HARRISON AVE, CENTRALIA, WA 98531-2109
(360) 736-5405
(360) 736-5620
Mailing address
230 WASHINGTON WAY, CENTRALIA, WA 98531-9325
(360) 736-5405
(360) 736-5620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00005252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5050489
—
WA
Enumeration date
03/27/2009
Last updated
03/27/2009
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