Individual
DR. RICHARD E GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1524 ATWOOD AVE, SUITE #137, JOHNSTON, RI 02919-3228
(401) 751-8029
(401) 751-0266
Mailing address
1524 ATWOOD AVE, SUITE #137, JOHNSTON, RI 02919-3228
(401) 751-8029
(401) 751-0266
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DNT1823
RI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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