Melinda P. Gordon D.m.d. a Dental Corporation
NPI #1053405118 in Lake Balboa, California
Provider Information
- NPI Number
- 1053405118
- Entity Type
- Organization
- Organization Name
- Melinda P. Gordon D.m.d. a Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 16935 VANOWEN ST. SUITE A
- City
- Lake Balboa
- State
- California
- ZIP Code
- 91406
- Phone
- (818) 705-2931
Authorized Official
- Name
- DR. MELINDA PIEGA GORDON, D.M.D.
- Title
- PRESIDENT
- Phone
- (818) 705-2931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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