Individual
DR. LAURIE SUE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2310 YORK ST, 4B, BLUE ISLAND, IL 60406-2411
(708) 388-0001
(708) 388-7612
Mailing address
2310 YORK ST, 4B, BLUE ISLAND, IL 60406-2411
(708) 388-0001
(708) 388-7612
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021721
IL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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