Individual
BRIANNA L GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 RIBAC ST, WAHIAWA, HI 96786-7539
(254) 449-0197
Mailing address
4100 RIBAC ST, WAHIAWA, HI 96786-7539
(254) 449-0197
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
TX
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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