Gordon N Gates Dds, Msd, PC

NPI #1568694305 in Boulder, Colorado

Provider Information

NPI Number: 1568694305
Entity Type: Organization
Organization Name: Gordon N Gates Dds, Msd, PC
Primary Specialty: Dentist - Prosthodontics
Enumeration Date: Aug 12, 2009
Last Updated: Aug 12, 2009

Practice Location

Address: 350 BROADWAY ST STE 201
City: Boulder
State: Colorado
ZIP Code: 80305-3338
Phone: (303) 494-7110

Authorized Official

Name: JAN GATES, RDH
Title: OFFICE MANAGER
Phone: (303) 530-9694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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