Gordon, Lisa A

Gordon, Lisa A is an individual health care provider with primary practice located at 1993 Mckee Rd Dental Clinic, San Jose CA 95116-1406. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Gordon, Lisa A can be contacted via phone (408) 254-6357.

Contact Information

Primary practice address
1993 Mckee Rd Dental Clinic San Jose CA 95116-1406
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D42551 California
Dental Providers / Dentist 122300000X DS-027340-L Pennsylvania

Profile Details

NPI number 1497719850
LBN Legal business name Gordon, Lisa A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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