Individual
DR. GIDEON NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
607 SW GRADY WAY STE 300, RENTON, WA 98055-2977
(425) 255-7633
Mailing address
607 SW GRADY WAY STE 300, RENTON, WA 98055-2977
(425) 255-7633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6136
WA
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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