Organization
DAVID A GORE DDS PLLC
Active
Other names
Cerven Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GORE DDS (DENTIST, OWNER)
(918) 766-5312
Entity
Organization
Contact information
Practice address
405 S GRANITE AVE, GRANITE FALLS, WA 98252-8474
(918) 766-5312
Mailing address
405 S GRANITE AVE, GRANITE FALLS, WA 98252-8474
(360) 691-7793
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
11/11/2020
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