Mickelson-Gates Dentistry Pllc
NPI #1811537251 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1811537251
- Entity Type
- Organization
- Organization Name
- Mickelson-Gates Dentistry Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 14, 2020
- Last Updated
- Feb 3, 2021
Practice Location
- Address
- 2165 N MERRITT CREEK
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-8381
- Phone
- (208) 667-8282
Authorized Official
- Name
- AMY WINTER
- Title
- OFFICE MANAGER
- Phone
- (208) 667-8282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
| Dentist |
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