Individual
DR. MICHAEL L. GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1550 E HERITAGE PARK ST, SUITE 100, MERIDIAN, ID 83646-5886
(208) 884-5556
(208) 884-4041
Mailing address
1550 E HERITAGE PARK ST, SUITE 100, MERIDIAN, ID 83646-5886
(208) 884-5556
(208) 884-4041
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3489-OR
ID
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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