| Vanessa Gordon D. D, S, | |
|
9131 Piscataway Rd Ste 210 Clinton MD 20735-2578 | |
| (301) 877-9230 | |
| Not Available |
| Full Name | Vanessa Gordon D. D, S, |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 9131 Piscataway Rd Ste 210, Clinton, Maryland |
| Authorized Official Name and Position | Vanessa Gordon (DENTIST/OWNER) |
| Authorized Official Contact | 3018779230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Gordon D. D, S, 9131 Piscataway Road Suite 210 Clinton MD 20735 Ph: (301) 877-9230 | Vanessa Gordon D. D, S, 9131 Piscataway Rd Ste 210 Clinton MD 20735-2578 Ph: (301) 877-9230 |
| NPI Number | 1902318769 |
|---|---|
| Provider Enumeration Date | 11/01/2017 |
| Last Update Date | 11/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902318769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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