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Individual

CHAD GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD DHED

Contact information

Practice address
12219 PINE BLUFFS WAY STE 105, PARKER, CO 80134-4486
(303) 841-2919
Mailing address
12219 PINE BLUFFS WAY STE 105, PARKER, CO 80134-4486
(303) 841-2919

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D008771
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00204245
CO

Other

Enumeration date
03/06/2014
Last updated
04/13/2021
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