JORDAN ANTONISSE CASTILLO

OMAHA, NE
NPI1104208172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2017000011)
Enumeration Date2015-06-25
Last Update Date2022-07-21
Business Address
Mrs. JORDAN ANTONISSE CASTILLO D.D.S.
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-552-7267
Mailing Address
Mrs. JORDAN ANTONISSE CASTILLO D.D.S.
4508 NE 85TH ST
KANSAS CITY, MO 64156-7802
Phone number: 214-535-1488
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