Gordon Mathew Callison D.D.S.

NPI 1053412718 - Dentist - 1223P0700X

NPI Details
NPI 1053412718
Gender Male
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
820 S DAMEN AVE
JESSE BROWN VAMC DENTAL SERVICE
CHICAGO IL, 60612-3728, US
Phone (312) 569-6669
Fax (312) 569-8089
Business Location
438 S ASHLAND AVE
LA GRANGE IL, 60525-6310, US
Phone (708) 508-0437
Fax (312) 569-8089
Toxanomy
Taxonomy Code 1223P0700X
License State
License Number
Remove 1053412718 NPI Number
 

According to our database, Dr. Gordon Mathew Callison D.D.S. NPI is 1053412718, taxonomy code is 1223P0700X Gordon Mathew Callison D.D.S. physically located at 820 S Damen Ave, Chicago IL, 60612-3728. NPI Number Gordon Mathew Callison D.D.S. has the Individual type.

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1053412718 NPI number is provided on an as is basis without warranty of any kind. 1053412718 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Mathew Callison D.D.S. are for informational purposes only.