Brandon D Gordon, DDS

NPI #1992968804 in Idaho Falls, Idaho

Provider Information

NPI Number: 1992968804
Entity Type: Individual
Name: Brandon D Gordon, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 10, 2008
Last Updated: Jul 10, 2008

Practice Location

Address: 7186 SAGE VIEW CR
City: Idaho Falls
State: Idaho
ZIP Code: 83406
Phone: (441) 687-1481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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