Individual
DR. JOE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
514 N WESTERN AVE, LAKE FOREST, IL 60045-1989
(847) 482-1900
(847) 482-1909
Mailing address
514 N WESTERN AVE, LAKE FOREST, IL 60045-1989
(847) 482-1900
(847) 482-1909
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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