Individual
DR. GREGORY ALAN VANGORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
302 COLUMBUS AVE, #4, BOSTON, MA 02116-5142
(503) 781-3413
Mailing address
302 COLUMBUS AVE, #4, BOSTON, MA 02116-5142
(503) 781-3413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22069
MA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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