Individual
DR. GABRIEL I MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4153
(406) 258-4180
Mailing address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4153
(406) 258-4180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2343
MT
1223G0001X
General Practice Dentistry
D7391
AZ
Other
Enumeration date
09/19/2007
Last updated
04/01/2010
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