G.l. Winchell D.d.s., P.s.
NPI #1427171818 in Longview, Washington
Provider Information
- NPI Number
- 1427171818
- Entity Type
- Organization
- Organization Name
- G.l. Winchell D.d.s., P.s.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 843 12TH AVE
- Address 2
- SUITE A
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2457
- Phone
- (360) 577-8880
Authorized Official
- Name
- DR. GERALD LYNN WINCHELL, D.D.S.
- Title
- PRESIDENT
- Phone
- (360) 577-8880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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