MARK J GORDON

PRAIRIE VILLAGE, KS
NPI1386643740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: KS  5900)
Additional Taxonomies122300000X Dentist
(Licence: MO  013474)
Enumeration Date2005-07-19
Last Update Date2007-07-08
Business Address
-- MARK J GORDON DDS
4121 W 83RD ST SUITE 212
PRAIRIE VILLAGE, KS 66208-5300
Phone number: 913-649-4042
Mailing Address
-- MARK J GORDON DDS
4121 W 83RD ST SUITE 212
PRAIRIE VILLAGE, KS 66208-5300
Phone number: 913-649-4042
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