Individual
DR. JORDAN ANNE BRETSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
CAPTAIN JAMES A. LOVELL FEDERAL HEALTH CARE CENTER, 3001 GREEN BAY ROAD, NORTH CHICAGO, IL 60064
(847) 688-1900
Mailing address
365 N HALSTED ST APT 2916, CHICAGO, IL 60661-1379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031400
IL
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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