DR. Jonathan L Gifford, DDS

NPI #1003187956 in Mount Prospect, Illinois

Provider Information

NPI Number: 1003187956
Entity Type: Individual
Name: DR. Jonathan L Gifford, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 24, 2012
Last Updated: Mar 2, 2017

Practice Location

Address: 435 W PROSPECT AVE
City: Mount Prospect
State: Illinois
ZIP Code: 60056-3031
Phone: (847) 255-9690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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