Individual
CHAD GAGE
Active
Individual
CHAD GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD DHED
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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