Individual
LAUREN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5215 WINDWARD PKWY STE D, ALPHARETTA, GA 30004-3887
(770) 222-2322
(404) 496-7010
Mailing address
11 S MILL ST STE 200, NEW CASTLE, PA 16101-3680
(724) 698-2500
(844) 399-0385
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN015835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN015835
STATE LICENSE
GA
Enumeration date
07/02/2019
Last updated
07/02/2019
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