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Individual

TAMARA GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3013 E MARKET ST STE 100, YORK, PA 17402-2513
(914) 712-5999
Mailing address
3013 E MARKET ST STE 100, YORK, PA 17402-2513

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
060845
NY
122300000X
Dentist
Primary
DS042514
PA

Other

Enumeration date
05/11/2018
Last updated
11/19/2019
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