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Individual

MICHAEL ANTHONY GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
829 MAIN ST, SCHERERVILLE, IN 46375-1100
(219) 322-1929
(219) 322-1039
Mailing address
829 MAIN ST, SCHERERVILLE, IN 46375-1100
(219) 322-1929
(219) 322-1039

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009120
IN

Other

Enumeration date
08/21/2006
Last updated
12/04/2020
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