Individual
DR. DAVID A GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
255 S GRAND AVE APT 2108, LOS ANGELES, CA 90012-3045
(720) 495-7650
Mailing address
255 S GRAND AVE APT 2108, LOS ANGELES, CA 90012-3045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61924
CA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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