| NPI | 1528144003 |
|---|---|
| Professional Name | C GORDON NILES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MI 2901010463) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |