Gaulke Dental Clinic PC
Dentist, General Practice in Hood River, OR. Organization (NPI-2).
NPI number1821359639
StatusActive
Last updated in NPPESJun 7, 2012
Details
- NPI
- 1821359639
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaulke Dental Clinic PC
- Organization subpart
- No
- Enumeration date
- Jun 7, 2012
- Last updated
- Jun 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D5401 | OR | Yes |
Practice location
307 E Sherman AveHood River, OR 97031-2358
Phone 541-386-2999 · Fax 541-386-3726
Mailing address
Po Box 298Hood River, OR 97031
Phone 541-386-2999 · Fax 541-386-3726
Authorized official
Joseph Scott Gaulke
President
5413862999
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