Dr. Mark Howard Gordon, DDS
Dentist, General Practice in Valley Stream, NY. Individual provider (NPI-1).
NPI number1396734331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396734331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Howard Gordon
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 036092 | NY | Yes |
Practice location
15 Fletcher AveValley Stream, NY 11580-4000
Phone 516-561-1577 · Fax 516-561-1577
Mailing address
15 Fletcher AveValley Stream, NY 11580-4000
Phone 516-561-1577 · Fax 516-561-1577
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All 30 General Practice Dentistry providers in Valley Stream · All 2,560 providers in Valley Stream
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