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Organization
STOUT AND GORDON FAMILY DENTISTRY PLC
Active
Organization
STOUT AND GORDON FAMILY DENTISTRY PLC
Active
Other names
Stout and Gordon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL GORDON D.D.S. (DENTIST)
(616) 399-8230
Entity
Organization
Contact information
Practice address
12723 N BELLWOOD ST, SUITE 30, HOLLAND, MI 49424-7275
(616) 399-8230
(616) 399-8374
Mailing address
12723 N BELLWOOD ST, SUITE 30, HOLLAND, MI 49424-7275
(616) 399-8230
(616) 399-8374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901014148
MI
1223G0001X
General Practice Dentistry
Primary
2901018180
MI
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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