Individual
DR. DAVID ROYCE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
981 S MAIN ST, SUITE 260, LOGAN, UT 84321-6053
(435) 787-0222
(435) 787-8499
Mailing address
981 S MAIN ST, SUITE 260, LOGAN, UT 84321-6053
(435) 787-0222
(435) 787-8499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7389995-9922
UT
Other
Enumeration date
09/02/2009
Last updated
11/12/2010
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