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Anita S. Gordon (DDS)

Anita S. Gordon (DDS) is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 2814 Buford Hwy Ne, Atlanta, GA 30329-2103, US
Practice Location Phone404-486-7661
Practice Location Fax404-486-7662
GenderFemale
Specialty InDentist
NPI ?1053451377
Entity TypeIndividual
Enumeration Date ? Feb 7, 2007
Last Update Date ? Oct 7, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Anita S. Gordon

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 9248Georgia

legacy-id-icon Legacy Provider IDs of Anita S. Gordon

Provider IdIssuer StateIssuer TypeIssuer
000225299AGeorgiaMedicaid
58-1458718GeorgiaOtherEIN