Individual
DR. ROBERT L GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11 S MAIN ST, EAST GRANBY, CT 06026
(860) 653-2636
(860) 653-1960
Mailing address
11 S MAIN ST, PO BOX 593, EAST GRANBY, CT 06026
(860) 653-2636
(860) 653-1960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CT 4514
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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