Organization
M SCOTT GORE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT GORE DDS (PRESIDENT OF CORPORATION)
(804) 794-4588
Entity
Organization
Contact information
Practice address
14431 SOMMERVILLE CT, SUITE A, MIDLOTHIAN, VA 23113-6812
(804) 794-4588
(804) 378-3717
Mailing address
14431 SOMMERVILLE CT, SUITE A, MIDLOTHIAN, VA 23113-6812
(804) 794-4588
(804) 378-3717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7262
VA
Other
Enumeration date
01/09/2007
Last updated
09/15/2011
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