Charles Meyer Gooss, Dmd, P.c.

NPI #1801030309 in Yakima, Washington

Provider Information

NPI Number: 1801030309
Entity Type: Organization
Organization Name: Charles Meyer Gooss, Dmd, P.c.
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 102 N FAIR AVE STE 102
City: Yakima
State: Washington
ZIP Code: 98901-4543
Phone: (509) 469-0875

Authorized Official

Name: CHARLES M. GOOSS
Title: PRACTICE OWNER
Phone: (509) 469-0875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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