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Organization

JAMES L GATES, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES L GATES DDS (OWNER/OPERATOR)
(276) 783-6818
Entity
Organization

Contact information

Practice address
318 E MAIN ST, MARION, VA 24354-3316
(276) 783-6818
(276) 783-2263
Mailing address
318 E MAIN ST, MARION, VA 24354-3316
(276) 783-6818
(276) 783-2263

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005722
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141620
ANTHEM
VA
Enumeration date
04/17/2008
Last updated
04/17/2008
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