Individual
MATTHEW SPENCER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 HOSPITAL AVE, DU BOIS, PA 15801-1439
(814) 375-1023
Mailing address
999 TREASURE LK, DU BOIS, PA 15801-9022
(978) 751-1727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044859
PA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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