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1588112726
CHARLES G GORDON DDS LLC
PUEBLO, CO
NPI
1588112726
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Entity Type
Organization
Authorized Contact
CHARLES GORDON
Member
719-544-7672
Organization Subpart ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO 7308)
Enumeration Date
2016-09-16
Last Update Date
2016-09-23
Business Address
CHARLES G GORDON DDS LLC
1026 EAGLERIDGE BLVD
PUEBLO, CO 81008-2130
Phone number: 719-544-7672
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Mailing Address
CHARLES G GORDON DDS LLC
1026 EAGLERIDGE BLVD
PUEBLO, CO 81008-2130
Phone number: 719-544-7672
Copy
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