Individual
DR. MICHAEL LEWIS GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3544 SPRINGDALE RD, CINCINNATI, OH 45251-1331
(513) 385-6555
(513) 385-2833
Mailing address
3544 SPRINGDALE RD, CINCINNATI, OH 45251-1331
(513) 385-6555
(513) 385-2833
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30014084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215565
—
OH
Enumeration date
06/15/2005
Last updated
07/08/2007
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