| Gordon N Gates DDS, Msd, PC | |
|
350 Broadway St Ste 201 Boulder CO 80305-3338 | |
| (303) 494-7110 | |
| (303) 554-1168 |
| Full Name | Gordon N Gates DDS, Msd, PC |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 350 Broadway St Ste 201, Boulder, Colorado |
| Authorized Official Name and Position | Jan Gates (OFFICE MANAGER) |
| Authorized Official Contact | 3035309694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon N Gates DDS, Msd, PC 350 Broadway St Ste 201 Boulder CO 80305-3338 Ph: (303) 494-7110 | Gordon N Gates DDS, Msd, PC 350 Broadway St Ste 201 Boulder CO 80305-3338 Ph: (303) 494-7110 |
| NPI Number | 1568694305 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568694305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 100945 (Colorado) | Primary |
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