Gordon, Randall Arthur
Gordon, Randall Arthur is an sole proprietor health care provider with primary practice located at 11600 Wilshire Blvd Suite 318, Los Angeles CA 90025-1733. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gordon, Randall Arthur can be contacted via phone (310) 473-6060.Contact Information
Primary practice address
11600 Wilshire Blvd Suite 318
Los Angeles CA 90025-1733
Phone: (310) 473-6060
Fax: (310) 473-6086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 32557 | California |
Profile Details
| NPI number | 1912907551 |
|---|---|
| LBN Legal business name | Gordon, Randall Arthur |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Mar 2nd, 2011 - about 13 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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