Individual
MICHAEL STEVEN GORDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.H.S.
Contact information
Practice address
1100 NW LOOP 410, 505, SAN ANTONIO, TX 78213-2263
(210) 341-6023
(210) 341-7332
Mailing address
1207 HIGH ROCK ST, SAN ANTONIO, TX 78232-3428
(210) 495-0427
(210) 495-3068
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12835
TX
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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