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Individual

DR. WILLIAM D GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
104 BROADWAY, WOODCLIFF LAKE, NJ 07677-8096
(201) 307-1919
(919) 403-2392
Mailing address
104 BROADWAY STE 101, WOODCLIFF LAKE, NJ 07677-8096
(201) 307-1919
(201) 307-8741

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI02664100
NJ
1223P0700X
Prosthodontics
6222
NC
1223P0700X
Prosthodontics
DN011085
GA

Other

Enumeration date
03/04/2008
Last updated
06/24/2021
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