Individual
KENT GORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MCHUGH BLVD, 2D DENTAL BATTALION/ NAVAL DENTAL CENTER, CAMP LEJEUNE, NC 28547-2511
(910) 451-2208
(910) 451-8036
Mailing address
5203 WEBB CT, MOREHEAD CITY, NC 28557-2569
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
0401005780
VA
1223P0700X
Prosthodontics
Primary
5810
NC
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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