| Gordon L. Pattison, D.d.s., Apdc | |
|
11859 Wilshire Blvd Ste. 550 Los Angeles CA 90025-6616 | |
| (310) 473-3800 | |
| (310) 473-9107 |
| Full Name | Gordon L. Pattison, D.d.s., Apdc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11859 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Gordon L. Pattison (PRESIDENT) |
| Authorized Official Contact | 3104733800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon L. Pattison, D.d.s., Apdc 11859 Wilshire Blvd Ste. 550 Los Angeles CA 90025-6616 Ph: (310) 473-3800 | Gordon L. Pattison, D.d.s., Apdc 11859 Wilshire Blvd Ste. 550 Los Angeles CA 90025-6616 Ph: (310) 473-3800 |
| NPI Number | 1710908991 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710908991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22399 (California) | Primary |
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