Susan Lee Gordon D.D.S.

NPI 1770696148 - Dentist - 1223G0001X

NPI Details
NPI 1770696148
Gender Female
Enumeration Date 08/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
10000 BAY PINES BLVD.
SAINT PETERSBURG FL, 33744, US
Phone (727) 398-6661
Fax
Business Location
1059 SABLE CT NE
SAINT PETERSBURG FL, 33702-2783, US
Phone (727) 528-3211
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 28188
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According to our database, Susan Lee Gordon D.D.S. NPI is 1770696148, taxonomy code is 1223G0001X and license number is 28188, license state is located at California. Susan Lee Gordon D.D.S. physically located at 10000 Bay Pines Blvd., Saint Petersburg FL, 33744. NPI Number Susan Lee Gordon D.D.S. has the Individual type.

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1770696148 NPI number is provided on an as is basis without warranty of any kind. 1770696148 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Lee Gordon D.D.S. are for informational purposes only.