Organization
DRFLASH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A GORDON JR. D.M.D. (OFFICER)
(630) 878-0351
Entity
Organization
Contact information
Practice address
23657 W ORCHARD LN, PLAINFIELD, IL 60586-8012
(630) 878-0351
(815) 254-9746
Mailing address
23657 W ORCHARD LN, PLAINFIELD, IL 60586-8012
(630) 878-0351
(815) 254-9746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020648
IL
292200000X
Dental Laboratory
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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