Individual
GREGORY J GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
570 W. 400N., MOAB, UT 84532-2236
(435) 259-4333
(435) 259-6618
Mailing address
570 W. 400N., MOAB, UT 84532-2236
(435) 259-4333
(435) 259-6618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
311259-9922
UT
Other
Enumeration date
07/10/2006
Last updated
07/01/2013
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