Organization
VANESSA GORDON D. D, S,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA GORDON D. D. S. (DENTIST/OWNER)
(301) 877-9230
Entity
Organization
Contact information
Practice address
9131 PISCATAWAY RD STE 210, CLINTON, MD 20735-2578
(301) 877-9230
Mailing address
9131 PISCATAWAY ROAD SUITE 210, CLINTON, MD 20735
(301) 877-9230
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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