Individual
ALICIA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
217 W JEFFERSON ST, PULASKI, TN 38478-2812
(931) 363-1564
Mailing address
1905 OLEARY CT, SPRING HILL, TN 37174-9513
(615) 636-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7510
TN
Other
Enumeration date
12/15/2006
Last updated
03/31/2022
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