Individual
DR. CHRISTOPHER N. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D., P.C.
Contact information
Practice address
11711 W BURLEIGH ST, WAUWATOSA, WI 53222-3196
(414) 771-2345
(414) 777-3839
Mailing address
PO BOX 1727, BROOKFIELD, WI 53008-1727
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021001986
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1002704
WI
Other
Enumeration date
01/03/2007
Last updated
11/01/2021
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