Organization
PHILIP J GORDON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP GORDON DDS (OWNER)
(913) 649-5017
Entity
Organization
Contact information
Practice address
3628 W 95TH ST, LEAWOOD, KS 66206-2035
(913) 649-5017
(913) 661-7186
Mailing address
3628 W 95TH ST, LEAWOOD, KS 66206-2035
(913) 649-5017
(913) 661-7186
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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