JORDAN JON ANNIS

ELM GROVE, WI
NPI1548873292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  1002421-15)
Enumeration Date2020-08-24
Last Update Date2023-12-06
Business Address
JORDAN JON ANNIS
15255 WATERTOWN PLANK RD STE 100
ELM GROVE, WI 53122-2338
Phone number: 262-784-7770
Mailing Address
JORDAN JON ANNIS
15255 WATERTOWN PLANK RD STE 100
ELM GROVE, WI 53122-2338
Phone number: 262-784-7770
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