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Joe Gordon, D.D.S
NPI 1124199468 · on the registry since 2006 · sole proprietor
Practice
- Address
- 514 N Western Ave
Lake Forest, IL 60045 - Phone
- (847) 482-1900
- Fax
- (847) 482-1909
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois