Organization
GAULKE DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SCOTT GAULKE D.M.D. (PRESIDENT)
(541) 386-2999
Entity
Organization
Contact information
Practice address
307 E SHERMAN AVE, HOOD RIVER, OR 97031-2358
(541) 386-2999
(541) 386-3726
Mailing address
PO BOX 298, HOOD RIVER, OR 97031
(541) 386-2999
(541) 386-3726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5401
OR
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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