INNOVATIVE ORTHODONTICS

JOLIET, IL
NPI1700207594
Entity TypeOrganization
Authorized ContactJOHN ALVAN GORDON
Treasurer
630-878-0351
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020648)
Enumeration Date2013-12-20
Last Update Date2013-12-23
Business Address
INNOVATIVE ORTHODONTICS
1000 W JEFFERSON ST STE 101
JOLIET, IL 60435-6812
Phone number: 814-727-5813
Mailing Address
INNOVATIVE ORTHODONTICS
1905 MARKETVIEW DR UNIT 274
YORKVILLE, IL 60560-1896
Phone number: 630-878-0351