Gordon, John Ray

Gordon, John Ray is an individual health care provider with primary practice located at 2655 Camino Del Rio N Ste 140 , San Diego CA 92108-1633. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gordon, John Ray can be contacted via phone (619) 282-7088.

Contact Information

Primary practice address
2655 Camino Del Rio N Ste 140 San Diego CA 92108-1633
Phone: (619) 282-7088
Fax: (619) 282-6290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 51878 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4183 Louisiana

Profile Details

NPI number 1326030990
LBN Legal business name Gordon, John Ray
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Nov 23rd, 2010 - 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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