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1508885492
JACOB MARTIN GORDON
WOODMERE, NY
NPI
1508885492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NY 028796)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. JACOB MARTIN GORDON D.D.S.
1021 CEDAR LN
WOODMERE, NY 11598-1211
Phone number: 516-569-4653
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Mailing Address
Dr. JACOB MARTIN GORDON D.D.S.
1021 CEDAR LN
WOODMERE, NY 11598-1211
Phone number: 516-569-4653
Copy
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