Mark J Gordon, DDS

NPI #1386643740 in Prairie Village, Kansas

Provider Information

NPI Number: 1386643740
Entity Type: Individual
Name: Mark J Gordon, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4121 W 83RD ST
Address 2: SUITE 212
City: Prairie Village
State: Kansas
ZIP Code: 66208-5300
Phone: (913) 649-4042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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