DR. Marvin J Gottschall JR., DDS

NPI #1871636555 in Cusick, Washington

Provider Information

NPI Number: 1871636555
Entity Type: Individual
Name: DR. Marvin J Gottschall JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 14, 2007
Last Updated: Jun 3, 2011

Practice Location

Address: 1821 N LECLERC RD. #1
City: Cusick
State: Washington
ZIP Code: 99119-5015
Phone: (509) 447-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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