Organization
GATES DENTISTRY, PLLC
Active
Other names
North Idaho Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN L GATES D.D.S. (DENTIST/OWNER)
(208) 691-7408
Entity
Organization
Contact information
Practice address
2165 N. MERRITT CREEK LOOP, COEUR D ALENE, ID 83814
(208) 667-8282
(208) 667-9557
Mailing address
2165 N. MERRITT CREEK LOOP, COEUR D ALENE, ID 83814
(208) 667-8282
(208) 667-9557
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D3355
ID
Other
Enumeration date
05/01/2015
Last updated
08/17/2020
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