DR. JOE GORDON, D.D.S.
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1124199468
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | - |
Frequently Asked Questions
NPI 1124199468 is the National Provider Identifier for DR. JOE GORDON, D.D.S., a Dentist - Pediatric Dentistry provider located in Lake Forest, IL. This NPI was enumerated on November 10, 2006.
DR. JOE GORDON, D.D.S. practices at 514 N WESTERN AVE, Lake Forest, IL 60045.
Quick Facts
- NPI
- 1124199468
- Type
- Individual
- Enumerated
- Nov 10, 2006
- Last Updated
- Jul 8, 2007
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