Patricia D Gordon

NPI #1992948780 in Canoga Park, California

Provider Information

NPI Number: 1992948780
Entity Type: Organization
Organization Name: Patricia D Gordon
Primary Specialty: Dentist
Enumeration Date: Apr 9, 2009
Last Updated: Apr 9, 2009

Practice Location

Address: 21001 COVELLO STREET
City: Canoga Park
State: California
ZIP Code: 91303
Phone: (888) 556-0225

Authorized Official

Name: DR. PATRICIA DENISE GORDON, D.D.S.
Title: DENTIST
Phone: (888) 556-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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