Organization
NICOLE T GORDON, DMD, PLC
Active
Other names
Gordon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE T GORDON DMD (DENTIST/OWNER)
(727) 724-4227
Entity
Organization
Contact information
Practice address
691 ALDERMAN RD, PALM HARBOR, FL 34683-2602
(727) 724-4227
Mailing address
1301 ENISWOOD PKWY, PALM HARBOR, FL 34683-2027
(727) 724-4227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
263787324
FL
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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