Individual
MRS. ANDRIANETTE NICOLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
92 GREY ST, EAST AURORA, NY 14052-2129
(716) 652-0190
Mailing address
92 GREY ST, EAST AURORA, NY 14052-2129
(716) 652-0190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059741
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
07/31/2024
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