Marc E Gordon Dmd, Pc | |
1 Industrial Way W Building C Eatontown NJ 07724-2255 | |
(732) 389-3400 | |
Not Available |
Full Name | Marc E Gordon Dmd, Pc |
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Speciality | Dentist - Periodontics |
Location | 1 Industrial Way W, Eatontown, New Jersey |
Authorized Official Name and Position | Marc E Gordon (PRESIDENT) |
Authorized Official Contact | 7323893400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marc E Gordon Dmd, Pc Po Box 335 Atlantic Highlands NJ 07716-0335 Ph: (732) 389-3400 | Marc E Gordon Dmd, Pc 1 Industrial Way W Building C Eatontown NJ 07724-2255 Ph: (732) 389-3400 |
NPI Number | 1316964968 |
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Provider Enumeration Date | 07/17/2006 |
Last Update Date | 06/05/2011 |
Identifier | Type | State | Issuer |
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1316964968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 15768 (New Jersey) | Primary |
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