Dr. Andrea T. Gordon Dds,llc
NPI #1073887642 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1073887642
- Entity Type
- Organization
- Organization Name
- Dr. Andrea T. Gordon Dds,llc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 29, 2012
- Last Updated
- Feb 29, 2012
Practice Location
- Address
- 1408 N KINGSHIGHWAY BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63113-1400
- Phone
- (314) 361-6767
Authorized Official
- Name
- DR. ANDREA T. GORDON, D.D.S.
- Title
- DENTIST
- Phone
- (314) 361-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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