Leo Dan Gordon DDS

NPI 1073593497 - Dentist - 1223G0001X

NPI Details
NPI 1073593497
Gender Male
Enumeration Date 01/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
503 E MAIN ST
WEIMAR TX, 78962, US
Phone (979) 725-8562
Fax (979) 725-6822
Business Location
503 E MAIN ST
WEIMAR TX, 78962, US
Phone (979) 725-8562
Fax (979) 725-6822
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number TX15621
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According to our database, Dr. Leo Dan Gordon DDS NPI is 1073593497, taxonomy code is 1223G0001X and license number is TX15621, license state is located at Texas. Leo Dan Gordon DDS physically located at 503 E Main St, Weimar TX, 78962. NPI Number Leo Dan Gordon DDS has the Individual type.

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1073593497 NPI number is provided on an as is basis without warranty of any kind. 1073593497 is maintained by the National Plan & Provider Enumeration System. The contents of Leo Dan Gordon DDS are for informational purposes only.