PETRA GORDON DMD PLLC

BROOKSVILLE, FL
NPI1154708097
Entity TypeOrganization
Authorized ContactPETRA G LEE
Owner
352-796-2034
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN 17627)
Enumeration Date2015-04-29
Last Update Date2015-04-29
Business Address
PETRA GORDON DMD PLLC
609 LAMAR AVE
BROOKSVILLE, FL 34601-3211
Phone number: 352-796-2034
Mailing Address
PETRA GORDON DMD PLLC
609 LAMAR AVE
BROOKSVILLE, FL 34601-3211
Phone number: 352-796-2034
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