OLIVIA VAN GORDON
Dentist - General Practice
Active
Individual
NPI: 1598285538
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 3934-17 (MS) |
Frequently Asked Questions
NPI 1598285538 is the National Provider Identifier for OLIVIA VAN GORDON, a Dentist - General Practice provider located in Grenada, MS. This NPI was enumerated on June 21, 2017.
OLIVIA VAN GORDON practices at 1800 F S HILL DR STE A, Grenada, MS 38901.
Quick Facts
- NPI
- 1598285538
- Type
- Individual
- Enumerated
- Jun 21, 2017
- Last Updated
- Jul 21, 2022
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