Individual
DR. MICHAEL LAWRENCE GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PS
Contact information
Practice address
2520 N ALDER ST, TACOMA, WA 98406-6632
(253) 759-5414
(253) 756-6860
Mailing address
2520 N ALDER ST, TACOMA, WA 98406-6632
(253) 759-5414
(253) 756-6860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5383609
—
WA
01
—
561035
UNITED CONCORDIA INS.
—
Enumeration date
07/29/2005
Last updated
10/27/2008
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