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
ZIP Code
60045-1989
Phone
(847) 482-1900

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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