Individual
WILLIAM GATES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4464 OLD SHELL RD, MOBILE, AL 36608-1913
(251) 343-2163
Mailing address
4464 OLD SHELL RD, MOBILE, AL 36608-1913
(251) 343-2163
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5582
AL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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