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Organization
BILL GATES DDS MS
Active
Organization
BILL GATES DDS MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GATES DDS (OWNER)
(201) 307-1919
Entity
Organization
Contact information
Practice address
104 BROADWAY, WOODCLIFF LAKE, NJ 07677-8096
(201) 307-1919
Mailing address
104 BROADWAY, WOODCLIFF LAKE, NJ 07677-8096
(201) 307-1919
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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