Individual
DR. GORDON LEE PATTISON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11859 WILSHIRE BLVD, STE. 550, LOS ANGELES, CA 90025-6616
(310) 473-3800
(310) 473-9107
Mailing address
11859 WILSHIRE BLVD, STE. 550, LOS ANGELES, CA 90025-6616
(310) 473-3800
(310) 473-9107
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22399
CA
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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