Individual
DR. LLOYD MALCOM GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2329 DEVINE ST, COLUMBIA, SC 29205
(803) 799-2750
(803) 799-2752
Mailing address
2329 DEVINE ST, COLUMBIA, SC 29205
(803) 799-2750
(803) 799-2752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1425
SC
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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