Individual
GORDON SANGHI WON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3901 STONEGATE PARK, STE 100, SAINT JOSEPH, MI 49085-9137
(269) 428-9500
(269) 428-9501
Mailing address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 428-9500
(269) 428-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0022602
TX
122300000X
Dentist
2901020191
MI
1223G0001X
General Practice Dentistry
Primary
2901020191
MI
Other
Enumeration date
05/24/2007
Last updated
02/28/2023
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