Individual
GABRIEL DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
795 SUNSET BLVD STE C, KALISPELL, MT 59901-3610
(425) 420-5943
Mailing address
795 SUNSET BLVD STE C, KALISPELL, MT 59901-3610
(425) 420-5943
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11353
MT
1223P0221X
Pediatric Dentistry
30-024412
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
07/22/2016
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