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1114072345
MICHAEL JAY GORDON
FAYETTEVILLE, NC
NPI
1114072345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 5492)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL JAY GORDON DDS
4155 FERNCREEK DR SUITE 101
FAYETTEVILLE, NC 28314-2581
Phone number: 910-323-8899
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Mailing Address
Dr. MICHAEL JAY GORDON DDS
4325 NORWICK DR
FAYETTEVILLE, NC 28314-2531
Phone number: 910-323-8899
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