JOE GORDON

LAKE FOREST, IL
NPI1124199468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IL  019.024258)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
Dr. JOE GORDON D.D.S.
514 N WESTERN AVE
LAKE FOREST, IL 60045-1989
Phone number: 847-482-1900
Mailing Address
Dr. JOE GORDON D.D.S.
514 N WESTERN AVE
LAKE FOREST, IL 60045-1989
Phone number: 847-482-1900