Individual
GORDON ORVILLE HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
336 FAIRVIEW AVE, HUDSON, NY 12534-1203
(188) 281-5975
Mailing address
76 BELVIDERE AVE, ALBANY, NY 12203-2400
(860) 558-5330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006512
CT
Other
Enumeration date
05/05/2006
Last updated
07/26/2021
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