Organization
MICHAEL L GORDON DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEWIS GORDON D.M.D. (PRESIDENT)
(513) 385-6555
Entity
Organization
Contact information
Practice address
3544 SPRINGDALE RD, CINCINNATI, OH 45251-1331
(513) 385-6555
(513) 385-2833
Mailing address
3544 SPRINGDALE RD, CINCINNATI, OH 45251-1331
(513) 385-6555
(513) 385-2833
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30014084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215565
—
OH
Enumeration date
03/27/2008
Last updated
03/27/2008
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