Individual
DR. WILLIAM MICHAEL GORDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
840 TIOGUE AVE, COVENTRY, RI 02816
(401) 828-1171
(401) 828-4704
Mailing address
840 TIOGUE AVE, COVENTRY, RI 02816
(401) 828-1171
(401) 828-4704
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
RI2421
RI
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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