Individual
DR. JONATHAN MELVIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 N CAMDEN DR, SUITE 1260, BEVERLY HILLS, CA 90210-4532
(310) 859-8123
(310) 859-2884
Mailing address
414 N CAMDEN DR, SUITE 1260, BEVERLY HILLS, CA 90210-4532
(310) 859-8123
(310) 859-2884
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
34926
CA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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