BRIAN KEITH GORDON

PORTSMOUTH, VA
NPI1134792666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  12315200-9921)
Enumeration Date2021-07-22
Last Update Date2024-07-23
Business Address
BRIAN KEITH GORDON DMD
620 JOHN PAUL JONES CIR STE 275
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-7550
Mailing Address
BRIAN KEITH GORDON DMD
2054 W 1600 N
PROVO, UT 84604-2282
Phone number: 801-636-1616
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