Michael Gordon, D.D.S.
Dentist, General Practice in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1710024021
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710024021
- Entity type
- Individual (NPI-1)
- Name
- Michael Gordon
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 23311 | CA | Yes |
Practice location
6552 Bolsa AveSuite R
Huntington Beach, CA 92647-2622
Phone 714-898-2517 · Fax 714-898-3144
Mailing address
6552 Bolsa AveSuite R
Huntington Beach, CA 92647-2622
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All 159 General Practice Dentistry providers in Huntington Beach · All 5,320 providers in Huntington Beach
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