Organization
GORDON DENTAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE ANTHONY GORDON (BUSINESS DEVELOPMENT)
(630) 926-5193
Entity
Organization
Contact information
Practice address
2555 LINCOLN HWY, SUITE 109, OLYMPIA FIELDS, IL 60461-1936
(708) 679-0668
(708) 679-0667
Mailing address
2555 LINCOLN HWY, SUITE 109, OLYMPIA FIELDS, IL 60461-1936
(708) 679-0668
(708) 679-0667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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