NPI | 1255962130 |
---|---|
Doing Business As | GORDON DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DANIELLE D GORDON Vice President 828-434-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |