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Organization

GDA FOR KIDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONNIE A GORDON SR. (EXECUTIVE DIRECTOR)
(708) 466-2374
Entity
Organization

Contact information

Practice address
2555 LINCOLN HWY STE 111, OLYMPIA FIELDS, IL 60461-1938
(708) 679-0668
(708) 843-0656
Mailing address
2555 LINCOLN HWY STE 111, OLYMPIA FIELDS, IL 60461-1938
(708) 679-0668
(708) 843-0656

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/28/2026
Last updated
02/28/2026
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