Individual
DR. GORDON N GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 BROADWAY ST, SUITE 201, BOULDER, CO 80305-3338
(303) 494-7110
(303) 554-1168
Mailing address
350 BROADWAY ST, SUITE 201, BOULDER, CO 80305-3338
(303) 494-7110
(303) 554-1168
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
100945
CO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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