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1326240458
JASON R GORDON
BRONX, NY
NPI
1326240458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 052812-1)
Enumeration Date
2007-06-01
Last Update Date
2009-07-29
Business Address
Dr. JASON R GORDON DDS
724 PELHAM PKWY S
BRONX, NY 10462-1029
Phone number: 917-658-1996
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Mailing Address
Dr. JASON R GORDON DDS
724 PELHAM PKWY S
BRONX, NY 10462-1029
Phone number: 917-658-1996
Copy
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