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Organization
PENNSYLVANIA CENTER FOR DENTAL SLEEP MEDICINE PC
Active
Organization
PENNSYLVANIA CENTER FOR DENTAL SLEEP MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY M GORDON DDS (PRESIDENT/DENTAL DIRECTOR)
(717) 632-1332
Entity
Organization
Contact information
Practice address
1225 CARLISLE ST STE 1B, HANOVER, PA 17331
(717) 632-1332
(270) 637-0207
Mailing address
1225 CARLISLE ST STE 1B, HANOVER, PA 17331-1207
(717) 632-1332
(270) 637-0207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24985
PA
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
08/17/2012
Last updated
06/29/2018
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