Individual
DR. AUDREY E GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. D. S.
Contact information
Practice address
157 CENTRE ST, ORANGEBURG, SC 29115-6043
(803) 536-0405
(803) 536-3533
Mailing address
157 CENTRE ST, ORANGEBURG, SC 29115-6043
(803) 536-0405
(803) 536-3533
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3397
SC
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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