JORDAN J BALVICH

RENSSELAER, IN
NPI1336364025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12009450A)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
Dr. JORDAN J BALVICH D.M.D.
129 N VAN RENSSELAER ST
RENSSELAER, IN 47978-2651
Phone number: 219-866-8110
Mailing Address
Dr. JORDAN J BALVICH D.M.D.
PO BOX 27
RENSSELAER, IN 47978-0027
Phone number: 219-866-8110