| NPI | 1841608502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GORDON Pediatric Dentist, President 847-482-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019024258) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |