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1801010699
GORDON LADD DOUGLASS
SACRAMENTO, CA
NPI
1801010699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA 21792)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Dr. GORDON LADD DOUGLASS D.D.S.
3960 EL CAMINO AVE SUITE 1
SACRAMENTO, CA 95821-6534
Phone number: 916-483-4964
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Mailing Address
Dr. GORDON LADD DOUGLASS D.D.S.
3960 EL CAMINO AVE SUITE 1
SACRAMENTO, CA 95821-6534
Phone number: 916-483-4964
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