Individual
DR. CHARLES MEYER GOOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
102 N FAIR AVE, STE 102, YAKIMA, WA 98901
(509) 469-0875
(509) 469-0865
Mailing address
102 N FAIR AVE, STE 102, YAKIMA, WA 98901
(509) 469-0875
(509) 469-0865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401008092
VA
122300000X
Dentist
Primary
DE60034731
WA
Other
Enumeration date
05/18/2006
Last updated
11/07/2008
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