Organization
KATHLEEN SAUCHELLI GORDON DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN SAUCHELLI GORDON DMD (OWNER)
(973) 574-1498
Entity
Organization
Contact information
Practice address
1378 BROAD ST, CLIFTON, NJ 07013-4232
(973) 574-1498
Mailing address
1378 BROAD ST, CLIFTON, NJ 07013-4232
(973) 574-1498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/27/2021
Last updated
12/03/2021
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