| Patricia D Gordon | |
|
21001 Covello Street Canoga Park CA 91303 | |
| (888) 556-0225 | |
| (323) 443-3904 |
| Full Name | Patricia D Gordon |
|---|---|
| Speciality | Dentist |
| Location | 21001 Covello Street, Canoga Park, California |
| Authorized Official Name and Position | Patricia Denise Gordon (DENTIST) |
| Authorized Official Contact | 8885560225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia D Gordon 21001 Covello Street Canoga Park CA 91303 Ph: (888) 556-0225 | Patricia D Gordon 21001 Covello Street Canoga Park CA 91303 Ph: (888) 556-0225 |
| NPI Number | 1992948780 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992948780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54899 (California) | Primary |
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