| Gordon Center For General And Advanced Denistry, Llc | |
|
656 Quince Orchard Rd Ste 104 Gaithersburg MD 20878-1423 | |
| (301) 258-1998 | |
| Not Available |
| Full Name | Gordon Center For General And Advanced Denistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 656 Quince Orchard Rd Ste 104, Gaithersburg, Maryland |
| Authorized Official Name and Position | Leonard Steven Gordon (DENTIST) |
| Authorized Official Contact | 3012581998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Center For General And Advanced Denistry, Llc 656 Quince Orchard Rd Ste 104 Gaithersburg MD 20878-1423 Ph: (301) 258-1998 | Gordon Center For General And Advanced Denistry, Llc 656 Quince Orchard Rd Ste 104 Gaithersburg MD 20878-1423 Ph: (301) 258-1998 |
| NPI Number | 1487485413 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 2668907510 |
|---|---|
| Medicare Enrollment ID | O20241202000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487485413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Leonard Steven Gordon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467554121 PECOS PAC ID: 7012229842 Enrollment ID: I20241202001309 |
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