Individual
PHILIP J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5844 NW BARRY RD, STE. 220, KANSAS CITY, MO 64154-1465
(816) 505-2222
Mailing address
5844 NW BARRY RD, STE. 220, KANSAS CITY, MO 64154-1465
(816) 505-2222
(816) 505-1334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009013194
MO
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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