Individual
WAYNE CHARLES GATLIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 W SUPERIOR ST, STE 404, DULUTH, MN 55802-1701
(218) 727-2772
Mailing address
4220 COLORADO ST, DULUTH, MN 55804-1407
(218) 525-3360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10141MN
MN
Other
Enumeration date
07/08/2006
Last updated
07/09/2007
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