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Organization
PATRICIA D GORDON
Active
Organization
PATRICIA D GORDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA DENISE GORDON D.D.S. (DENTIST)
(888) 556-0225
Entity
Organization
Contact information
Practice address
21001 COVELLO STREET, CANOGA PARK, CA 91303
(888) 556-0225
(323) 443-3904
Mailing address
21001 COVELLO STREET, CANOGA PARK, CA 91303
(888) 556-0225
(323) 443-3904
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54899
CA
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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