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Dr. Randall R Gordon, DDS,MS
Periodontist in Lodi, California
NPI 1851498877

Randall R Gordon is a Periodontist based in Lodi, CA and is specialized in Periodontics. Randall R Gordon practices in Lodi, CA and has the professional credentials of DDS,MS. The NPI Number for Randall R Gordon is 1851498877 and holds a License No. 40598 (California).

The current practice location address for Randall R Gordon is 1420 S Mills Ave, Lodi, CA and can be reached out via phone at 209-369-1484 and via fax at 209-366-0998.

Location: 1420 S Mills Ave, Lodi, CA, 95242-4291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851498877
Provider Name
Randall R Gordon
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1420 S Mills Ave, Lodi, CA, 95242-4291
Phone Number
209-369-1484
Fax Number
209-366-0998
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1420 S Mills Ave
City
Lodi
State
California
Zip
95242-4291
Phone Number
209-369-1484
Fax Number
209-366-0998
person
Provider Business Mailing Address Details
Address
1420 S Mills Ave
City
Lodi
State
California
Zip
95242-4291
Phone Number
209-369-1484
Fax Number
209-366-0998
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
40598 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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