DR. MARK GORDON, DDS

Dentist - General Practice

Active Individual
NPI: 1396734331

Practice Address

15 FLETCHER AVE
Valley Stream, NY 11580

Phone: (516) 561-1577

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 036092 (NY)

Frequently Asked Questions

NPI 1396734331 is the National Provider Identifier for DR. MARK GORDON, DDS, a Dentist - General Practice provider located in Valley Stream, NY. This NPI was enumerated on October 20, 2005.
DR. MARK GORDON, DDS practices at 15 FLETCHER AVE, Valley Stream, NY 11580.

Quick Facts

NPI
1396734331
Type
Individual
Enumerated
Oct 20, 2005
Last Updated
Jul 8, 2007

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