Individual
DR. SARA C GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA STREET, DEPT OF ORAL MEDICINE UIC COLLEGE OF DENTISTRY MC 838, CHICAGO, IL 60612-7213
(312) 996-1104
(312) 996-9226
Mailing address
801 S PAULINA ST, UIC COLLEGE OF DENTISTRY, OMDS (MC838), CHICAGO, IL 60612-7210
(312) 996-1104
(312) 996-9226
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2901017279
MI
Other
Enumeration date
07/26/2006
Last updated
04/10/2009
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