Individual
ANDREA DAWN GORDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
127 KINGSWAY RD, BRANDON, FL 33510-4605
(813) 681-5531
Mailing address
127 KINGSWAY RD, BRANDON, FL 33510-4605
(813) 681-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15161
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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