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Individual

ALEXIS PARIS GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
434 SOUTHBRIDGE ST STE B, AUBURN, MA 01501-4423
(508) 752-6649
Mailing address
1 GREEN ISLAND BLVD APT 516, WORCESTER, MA 01610-3752
(770) 912-1675

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
14455
CT
122300000X
Dentist
Primary
DN10000862
MA

Other

Enumeration date
04/01/2024
Last updated
07/18/2025
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