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Organization

GORDON L. PATTISON, D.D.S., APDC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GORDON L. PATTISON III D.D.S. (PRESIDENT)
(310) 473-3800
Entity
Organization

Contact information

Practice address
11859 WILSHIRE BLVD, STE. 550, LOS ANGELES, CA 90025-6616
(310) 473-3800
(310) 473-9107
Mailing address
11859 WILSHIRE BLVD, STE. 550, LOS ANGELES, CA 90025-6616
(310) 473-3800
(310) 473-9107

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22399
CA

Other

Enumeration date
07/22/2006
Last updated
12/03/2008
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