Individual
DR. GORDON PHILLIP SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3255 W MAPLE RD, WIXOM, MI 48393-1820
(248) 669-4141
Mailing address
3255 W MAPLE RD, WIXOM, MI 48393-1820
(248) 669-4141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013824
MI
Other
Enumeration date
05/26/2005
Last updated
07/08/2007
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