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Individual

DR. BENJAMIN LEE GATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
305 MAIN AVE S, BROOKINGS, SD 57006-3118
(605) 692-2820
(605) 692-9116
Mailing address
305 MAIN AVE S, BROOKINGS, SD 57006-3118
(605) 692-2820
(605) 692-9116

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7804650
SD
Enumeration date
07/02/2006
Last updated
07/08/2007
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