Organization
GORDON N GATES DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN GATES RDH (OFFICE MANAGER)
(303) 530-9694
Entity
Organization
Contact information
Practice address
350 BROADWAY ST STE 201, BOULDER, CO 80305-3338
(303) 494-7110
(303) 554-1168
Mailing address
350 BROADWAY ST STE 201, BOULDER, CO 80305-3338
(303) 494-7110
(303) 554-1168
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
100945
CO
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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