| NPI | 1770139396 |
|---|---|
| Doing Business As | GORDON DENTAL |
| Entity Type | Organization |
| Authorized Contact | CAITLYN HALL Dentist 253-988-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |