DR. Joe Gordon, D.D.S.
NPI #1124199468 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1124199468
- Entity Type
- Individual
- Name
- DR. Joe Gordon, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S.
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 514 N WESTERN AVE
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1989
- Phone
- (847) 482-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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| Priyal P Mangrola, DMD | |
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Organizations
| Provider Name | |
|---|---|
| Forest Orthodontics and Pediatric Dentistry |
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