Individual
DR. JACQUES LENOEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3885 PRINCETON LAKES WAY SW, STE 408, ATLANTA, GA 30331-5589
(404) 629-6610
(404) 629-6630
Mailing address
3885 PRINCETON LAKES WAY SW, STE 408, ATLANTA, GA 30331-5589
(404) 629-6610
(404) 629-6630
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN013463
GA
Other
Enumeration date
02/22/2007
Last updated
04/29/2010
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