St Christopher Augustus Gordon DMD

NPI 1073723490 - Dentist - 122300000X

NPI Details
NPI 1073723490
Gender Male
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4956 NW 88TH AVE
SUNRISE FL, 33351-5314, US
Phone (954) 742-5355
Fax (954) 742-7658
Business Location
4956 NW 88TH AVE
SUNRISE FL, 33351-5314, US
Phone (954) 742-5355
Fax (954) 742-7658
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN14183
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According to our database, Dr. St Christopher Augustus Gordon DMD NPI is 1073723490, taxonomy code is 122300000X and license number is DN14183, license state is located at Florida. St Christopher Augustus Gordon DMD physically located at 4956 Nw 88th Ave, Sunrise FL, 33351-5314. NPI Number St Christopher Augustus Gordon DMD has the Individual type.

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1073723490 NPI number is provided on an as is basis without warranty of any kind. 1073723490 is maintained by the National Plan & Provider Enumeration System. The contents of St Christopher Augustus Gordon DMD are for informational purposes only.