Individual
KASSANDRA MARIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
18610 E RITTENHOUSE RD STE 103, QUEEN CREEK, AZ 85142-4504
(480) 807-4000
Mailing address
3539 E PHELPS ST, GILBERT, AZ 85295-2140
(480) 326-0907
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H06423
AZ
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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