Individual
DR. BENJAMIN L GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2165 N MERRITT CREEK LOOP, COEURD'ALENE, ID 83815
(208) 667-8282
(208) 667-9557
Mailing address
2165 N MERRITT CREEK LOOP, COEURD'ALENE, ID 83815
(208) 667-8282
(208) 667-9557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3355
ID
Other
Enumeration date
08/09/2006
Last updated
08/17/2020
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