Individual
MR. GORDON KEITH WYMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 OSBORN BLVD, SUITE 2603, SAULT SAINTE MARIE, MI 49783-1899
(906) 635-9303
(906) 635-9310
Mailing address
550 OSBORN BLVD, SUITE 2603, SAULT SAINTE MARIE, MI 49783-1899
(906) 635-9303
(906) 635-9310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MI13678
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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