Individual
DR. LAWRENCE JOHN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
834 CHESTNUT ST, SUITE 415, PHILADELPHIA, PA 19107-5127
(215) 955-8828
(215) 928-0450
Mailing address
834 CHESTNUT ST, SUITE 415, PHILADELPHIA, PA 19107-5127
(215) 955-8828
(215) 928-0450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019919
PA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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