Individual
DR. LAURENCE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19 SQUADRON BLVD, NEW CITY, NY 10956-5227
(845) 634-8807
Mailing address
19 SQUADRON BLVD, NEW CITY, NY 10956-5227
(845) 634-8807
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
029784
NY
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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