Individual
DR. RYAN LEE GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
6601 LYNDALE AVE S, SUITE 230 WOODLAKE CENTRE, RICHFIELD, MN 55423
(612) 638-1224
(612) 638-1232
Mailing address
PO BOX 23029, RICHFIELD, MN 55423
(612) 861-9123
(612) 861-9155
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D11620
MN
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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