DR. Gordon Edward Dammann, DDS

NPI #1891957874 in Lena, Illinois

Provider Information

NPI Number: 1891957874
Entity Type: Individual
Name: DR. Gordon Edward Dammann, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 123 W RAILROAD ST
City: Lena
State: Illinois
ZIP Code: 61048-9038
Phone: (815) 369-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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