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Dr. Marvin J Gottschall JR., DDS
General Practice Dentistry in Cusick, Washington
NPI 1871636555

Marvin J Gottschall JR. is a General Practice Dentistry based in Cusick, WA and is specialized in General Practice. Marvin J Gottschall JR. practices in Cusick, WA and has the professional credentials of DDS. The NPI Number for Marvin J Gottschall JR. is 1871636555 and holds a License No. DE00009801 (Washington).

The current practice location address for Marvin J Gottschall JR. is 1821 N Leclerc Rd. #1, Cusick, WA and can be reached out via phone at 509-447-7111 and via fax at 509-445-1152.

Location: 1821 N Leclerc Rd. #1, Cusick, WA, 99119-5015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871636555
Provider Name
Marvin J Gottschall JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1821 N Leclerc Rd. #1, Cusick, WA, 99119-5015
Phone Number
509-447-7111
Fax Number
509-445-1152
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0213060 01 WA LABOR & INDUSTRIES ID #
5051537 05 WA
institution
Provider Business Practice Location Address Details
Address
1821 N Leclerc Rd. #1
City
Cusick
State
Washington
Zip
99119-5015
Phone Number
509-447-7111
Fax Number
509-445-1152
person
Provider Business Mailing Address Details
Address
1821 N Leclerc Rd. #1
City
Cusick
State
Washington
Zip
99119-5015
Phone Number
509-447-7111
Fax Number
509-445-1152
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE00009801 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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