Individual
DR. DANIEL BRYAN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12723 N BELLWOOD DR, SUITE 30, HOLLAND, MI 49424-7275
(616) 399-8230
(616) 399-8374
Mailing address
6228 GEMINI CT, HUDSONVILLE, MI 49426-7837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018180
MI
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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