Michael Gordon, DMD

NPI #1184028391 in Key West, Florida

Provider Information

NPI Number: 1184028391
Entity Type: Individual
Name: Michael Gordon, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 3706 N ROOSEVELT BLVD
Address 2: SUITE A
City: Key West
State: Florida
ZIP Code: 33040-4566
Phone: (305) 332-4168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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