Organization
BRUCE GORDY DMD PA
Active
Other names
GORDY FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANEY BRUCE GORDY DMD (OWNER)
(407) 422-1130
Entity
Organization
Contact information
Practice address
1216 EDGEWATER DR, ORLANDO, FL 32804-6391
(407) 422-1130
(407) 841-5651
Mailing address
1216 EDGEWATER DR, ORLANDO, FL 32804-6391
(407) 422-1130
(407) 841-5651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN8095
FL
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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