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Organization

STEVEN T GATTEN DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN T GATTEN DDS (OWNER)
(208) 664-9129
Entity
Organization

Contact information

Practice address
2201 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3658
(208) 664-9129
(208) 664-9120
Mailing address
2201 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3658
(208) 664-9129
(208) 664-9120

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1636
ID
1223G0001X
General Practice Dentistry
D-4087
ID

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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