JONATHAN L GIFFORD

MOUNT PROSPECT, IL
NPI1003187956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019030941)
Additional Taxonomies122300000X Dentist
(Licence: NM  DD4038)
Enumeration Date2012-01-24
Last Update Date2017-03-02
Business Address
Dr. JONATHAN L GIFFORD DDS
435 W PROSPECT AVE
MOUNT PROSPECT, IL 60056-3031
Phone number: 847-255-9690
Mailing Address
Dr. JONATHAN L GIFFORD DDS
783 MARK AVE
DES PLAINES, IL 60016-1109
Phone number: 414-916-2863
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