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1760542302
AUDREY E GORDON
ORANGEBURG, SC
NPI
1760542302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: SC 3397)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Dr. AUDREY E GORDON D. D. S.
157 CENTRE ST
ORANGEBURG, SC 29115-6043
Phone number: 803-536-0405
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Mailing Address
Dr. AUDREY E GORDON D. D. S.
157 CENTRE ST
ORANGEBURG, SC 29115-6043
Phone number: 803-536-0405
Copy
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