DR. David Royce Gordon, D.D.S.

NPI #1770716045 in Logan, Utah

Provider Information

NPI Number: 1770716045
Entity Type: Individual
Name: DR. David Royce Gordon, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Sep 2, 2009
Last Updated: Nov 12, 2010

Practice Location

Address: 981 S MAIN ST
Address 2: SUITE 260
City: Logan
State: Utah
ZIP Code: 84321-6053
Phone: (435) 787-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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