Individual
JOLENE ARIEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 N STATE RD STE 201, BRIARCLIFF MANOR, NY 10510-1478
(914) 762-8888
(914) 762-8916
Mailing address
449 N STATE RD STE 201, BRIARCLIFF MANOR, NY 10510-1478
(914) 762-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060688
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
04/27/2022
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