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1053451377
ANITA S. GORDON
ATLANTA, GA
NPI
1053451377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9248)
Enumeration Date
2007-02-07
Last Update Date
2010-10-07
Business Address
-- ANITA S. GORDON DDS
2814 BUFORD HWY NE
ATLANTA, GA 30329-2103
Phone number: 404-486-7661
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Mailing Address
-- ANITA S. GORDON DDS
PO BOX 29411
ATLANTA, GA 30359-0411
Phone number: 404-486-7661
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