DR. Gordon Joseph Miniclier, DDS PC

NPI #1881768166 in Independence, Virginia

Provider Information

NPI Number: 1881768166
Entity Type: Individual
Name: DR. Gordon Joseph Miniclier, DDS PC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS PC
Enumeration Date: Nov 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 150 WEST MAIN STREET
City: Independence
State: Virginia
ZIP Code: 24348-0560
Phone: (276) 773-3521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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