Gordon, Wanda Celeste
Gordon, Wanda Celeste is an individual health care provider with primary practice located at 3223 N Broad St Department Of Endodontics, Philadelphia PA 19140-5007. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Gordon, Wanda Celeste can be contacted via phone (215) 707-4428.Contact Information
Primary practice address
3223 N Broad St Department Of Endodontics
Philadelphia PA 19140-5007
Phone: (215) 707-4428
Fax: (215) 707-1482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DS024105L | Pennsylvania |
Profile Details
| NPI number | 1215184692 |
|---|---|
| LBN Legal business name | Gordon, Wanda Celeste |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Aug 27th, 2008 - about 16 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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