Individual
KAREN L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
600 8TH AVE SE, ST PETERSBURG, FL 33701-5030
(727) 502-1586
Mailing address
10569 LAKE BREEZE DR, SEMINOLE, FL 33772-4333
(727) 393-7269
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH19214
FL
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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