Organization
CHARLES MEYER GOOSS, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES M. GOOSS (PRACTICE OWNER)
(509) 469-0875
Entity
Organization
Contact information
Practice address
102 N FAIR AVE STE 102, YAKIMA, WA 98901-4543
(509) 469-0875
Mailing address
102 N FAIR AVE STE 102, YAKIMA, WA 98901-4543
(509) 469-0875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60034731
WA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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