Individual
GORDON STANLEY FROESE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
836 SHARON AVE E, MOSES LAKE, WA 98837-2442
(509) 765-1748
(509) 766-7668
Mailing address
836 SHARON AVE E, MOSES LAKE, WA 98837-2442
(509) 765-1748
(509) 766-7668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4928
WA
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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