Individual
NANNETTE D GOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 S 2ND AVE, WALLA WALLA, WA 99362-3002
(509) 525-7250
Mailing address
217 S 2ND AVE, WALLA WALLA, WA 99362-3002
(509) 525-7250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008133
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031281
—
WA
Enumeration date
07/22/2006
Last updated
07/08/2007
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