Individual
DR. CECILLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
128 STEVENS AVE, MT VERNON, NY 10550-2604
(914) 668-2772
(914) 668-2657
Mailing address
80 LAWN AVE, UNIT #12, STAMFORD, CT 06902-3123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
009501
CT
1223G0001X
General Practice Dentistry
Primary
045979
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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