Individual
MICHAEL SCOTT GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14431 SOMMERVILLE CT, SUITE A, MIDLOTHIAN, VA 23113-6812
(804) 794-4588
(804) 378-3717
Mailing address
14431 SOMMERVILLE COURT, SUITE A, MIDLOTHIAN, VA 23113
(804) 794-4588
(804) 378-3717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7262
VA
Other
Enumeration date
01/23/2009
Last updated
11/11/2009
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