Individual
GREGORY L PSALTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 LILLY RD NE, OLYMPIA, WA 98506
(360) 459-5885
(360) 459-7115
Mailing address
222 LILLY RD NE, OLYMPIA, WA 98506
(360) 459-5885
(360) 459-7115
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00004885
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5022207
—
WA
Enumeration date
11/03/2006
Last updated
07/08/2007
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