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Organization
SEDATION DENTISTRY TODAY, LLC
Active
Organization
SEDATION DENTISTRY TODAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY M GORDON DDS (OWNER)
(717) 637-6119
Entity
Organization
Contact information
Practice address
250 FAME AVE, SUITE 206, HANOVER, PA 17331-1587
(717) 637-6119
Mailing address
250 FAME AVE, SUITE 206, HANOVER, PA 17331-1587
(717) 637-6119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024985L
PA
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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