Organization
GORDON G. WILLIAMSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON GENE WILLIAMSON DDS (PRESIDENT)
(623) 933-5749
Entity
Organization
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD, SUITE 200, SURPRISE, AZ 85374-4795
(623) 933-5749
(623) 815-1220
Mailing address
14800 W MOUNTAIN VIEW BLVD, SUITE 200, SURPRISE, AZ 85374-4795
(623) 933-5749
(623) 815-1220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1290
AZ
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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