Justin Lewis Gates D.D.S.

NPI 1629238613 - Dentist - 1223G0001X

NPI Details
NPI 1629238613
Gender Male
Enumeration Date 06/12/2008
Last Updated 12/10/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1128 N MAIN ST
SUITE A
MARION VA, 24354-4299, US
Phone (276) 783-6818
Fax (276) 783-2263
Business Location
1128 N MAIN ST
SUITE A
MARION VA, 24354-4299, US
Phone (276) 783-6818
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401412151
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According to our database, Dr. Justin Lewis Gates D.D.S. NPI is 1629238613, taxonomy code is 1223G0001X and license number is 0401412151, license state is located at Virginia. Justin Lewis Gates D.D.S. physically located at 1128 N Main St, Marion VA, 24354-4299. NPI Number Justin Lewis Gates D.D.S. has the Individual type.

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1629238613 NPI number is provided on an as is basis without warranty of any kind. 1629238613 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Lewis Gates D.D.S. are for informational purposes only.