Individual
DR. GORDON BARRY SHLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2759 ELIZABETH LAKE RD, SUITE 100, WATERFORD, MI 48328
(248) 681-4470
(248) 681-9137
Mailing address
2759 ELIZABETH LAKE RD, SUITE 100, WATERFORD, MI 48328
(248) 681-4470
(248) 681-9137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10184
MI
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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