Individual
DR. ANDREA THOMAS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1408 N KINGSHIGHWAY BLVD, SUITE 110, SAINT LOUIS, MO 63113-1400
(314) 361-6767
(314) 361-1480
Mailing address
1408 N KINGSHIGHWAY BLVD, SUITE 110, SAINT LOUIS, MO 63113-1400
(314) 361-6767
(314) 361-1480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013689
MO
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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