Individual
DR. NICOLE HELEN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
276 KINGSBURY GRADE, STATELINE, NV 89449-9804
(775) 580-7410
(775) 580-7308
Mailing address
PO BOX 4680, STATELINE, NV 89449-4680
(775) 580-7410
(775) 580-7308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
53970
CA
1223G0001X
General Practice Dentistry
Primary
7149
NV
Other
Enumeration date
11/16/2006
Last updated
01/19/2022
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