Individual
ROBIN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 15TH AVE S, GREAT FALLS, MT 59405-5201
(406) 455-5903
Mailing address
1412 4TH AVE N, GREAT FALLS, MT 59401-1418
(406) 788-0705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1255
MT
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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