Innovative Orthodontics
NPI #1700207594 in Joliet, Illinois
Provider Information
- NPI Number
- 1700207594
- Entity Type
- Organization
- Organization Name
- Innovative Orthodontics
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 20, 2013
- Last Updated
- Dec 23, 2013
Practice Location
Authorized Official
- Name
- DR. JOHN ALVAN GORDON JR., DMD
- Title
- TREASURER
- Phone
- (630) 878-0351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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