Charles G. Gordon D.D.S.

NPI 1831164722 - Dentist - 1223G0001X

NPI Details
NPI 1831164722
Gender Male
Enumeration Date 02/22/2006
Last Updated 01/12/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1026 EAGLERIDGE BLVD
PUEBLO CO, 81008-2130, US
Phone (719) 372-0808
Fax
Business Location
1026 EAGLERIDGE BLVD
PUEBLO CO, 81008-2130, US
Phone (719) 372-0808
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 7308
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According to our database, Dr. Charles G. Gordon D.D.S. NPI is 1831164722, taxonomy code is 1223G0001X and license number is 7308, license state is located at Colorado. Charles G. Gordon D.D.S. physically located at 1026 Eagleridge Blvd, Pueblo CO, 81008-2130. NPI Number Charles G. Gordon D.D.S. has the Individual type.

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1831164722 NPI number is provided on an as is basis without warranty of any kind. 1831164722 is maintained by the National Plan & Provider Enumeration System. The contents of Charles G. Gordon D.D.S. are for informational purposes only.