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1801999719
JOHN GORDON
ISLIP TERRACE, NY
NPI
1801999719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 044635)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Dr. JOHN GORDON D.D.S.
111 CARLETON AVE SUITE 1
ISLIP TERRACE, NY 11752-2236
Phone number: 631-581-3500
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Mailing Address
Dr. JOHN GORDON D.D.S.
111 CARLETON AVE SUITE 1
ISLIP TERRACE, NY 11752-2236
Phone number: 631-581-3500
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