Randall Gordon, DDS, MS

NPI 1851498877 · on the registry since 2006 · sole proprietor

Practice

Address: 1420 S Mills Ave
Suite G
Lodi, CA 95242
Phone: (209) 369-1484
Fax: (209) 366-0998
Organisation at this address: Stephen Cheung Dds
James B. Duhamel, Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223P0300X
1223P0300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California