Individual provider · Type 1 NPI

Jonathan Melvin Gordon

Periodontics · Beverly Hills, CA

NPI number 1255448767 Active

Practice location

414 N Camden Dr, Suite 1260
Beverly Hills, CA 90210-4532

Call (310) 859-8123 Map

Fax (310) 859-2884

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X34926 (CA)

Periodontics: 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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About NPI 1255448767

Jonathan Melvin Gordon's National Provider Identifier is 1255448767, issued on Aug 23, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Beverly Hills, CA. The record was last updated on Jul 8, 2007.