| NPI | 1376781864 |
|---|---|
| Doing Business As | GORDON DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH D GORDON Dentis/Owner 904-460-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 16348) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |