Individual
DAVID MICHAEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
23 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 557-2200
(707) 642-7502
Mailing address
823 BANTRY COURT, BENICIA, CA 94510
(707) 745-1344
(707) 642-7502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31465
CA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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