DR. Jeremiah Daniel Gordon, DMD
NPI #1497870646 in St Augustine, Florida
Provider Information
- NPI Number
- 1497870646
- Entity Type
- Individual
- Name
- DR. Jeremiah Daniel Gordon, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Feb 11, 2009
Practice Location
- Address
- 135 JENKINS ST
- Address 2
- SUITE 105A
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5175
- Phone
- (904) 460-0999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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