JORDAN LISSAUER

STATEN ISLAND, NY
NPI1730467564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  055112)
Enumeration Date2011-07-27
Last Update Date2020-04-06
Business Address
JORDAN LISSAUER DMD
3767 HYLAN BLVD
STATEN ISLAND, NY 10308-3505
Phone number: 718-966-2720
Mailing Address
JORDAN LISSAUER DMD
3767 HYLAN BLVD
STATEN ISLAND, NY 10308-3505
Phone number:
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