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Organization

JOHN T GORDON D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GORDON D.D.S. (PRESIDENT)
(631) 581-3500
Entity
Organization

Contact information

Practice address
111 CARLETON AVE, STE 1, ISLIP TERRACE, NY 11752-2236
(631) 581-3500
Mailing address
111 CARLETON AVE, STE 1, ISLIP TERRACE, NY 11752-2236

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
044635
NY

Other

Enumeration date
02/07/2017
Last updated
02/07/2017
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