Organization
BENJAMIN L. GATES, DDS, PROF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN L GATES (DOCTOR)
(605) 692-2820
Entity
Organization
Contact information
Practice address
305 MAIN AVE S, SUITE 2, BROOKINGS, SD 57006-3118
(605) 692-2820
(605) 692-9116
Mailing address
305 MAIN AVE S, SUITE 2, BROOKINGS, SD 57006-3118
(605) 692-2820
(605) 692-9116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M641
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804650
—
SD
Enumeration date
01/02/2007
Last updated
06/11/2008
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