Organization
MICHAEL L. GAGE, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L GAGE D.D.S. (OWENER)
(253) 759-5414
Entity
Organization
Contact information
Practice address
2520 N ALDER ST, TACOMA, WA 98406-6632
(253) 759-5414
(253) 756-6860
Mailing address
2520 N ALDER ST, TACOMA, WA 98406-6632
(253) 759-5414
(253) 756-6860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912907064
NPI TYPE I
WA
Enumeration date
11/06/2008
Last updated
11/06/2008
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