JORDAN DIETRICH

WAUTOMA, WI
NPI1902582604
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  6001224-15)
Enumeration Date2023-06-26
Last Update Date2025-10-02
Business Address
Dr. JORDAN DIETRICH DDS
400 S TOWNLINE RD
WAUTOMA, WI 54982-6922
Phone number: 920-787-5514
Mailing Address
Dr. JORDAN DIETRICH DDS
400 S TOWNLINE RD
WAUTOMA, WI 54982-6922
Phone number: 920-787-5517
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