Individual
DR. CHRISTINA BEAUSOLEIL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
520 N 12TH ST RM 111, RICHMOND, VA 23298-5064
(804) 828-0843
Mailing address
1821 MACTAVISH AVE APT 2145, RICHMOND, VA 23230-4335
(214) 205-7105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000498
VA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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