Individual
JORGE RODRIQUEZ JORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1519 US HIGHWAY 41 STE B8, SCHERERVILLE, IN 46375-1373
(786) 838-3683
Mailing address
1519 US HIGHWAY 41 STE B8, SCHERERVILLE, IN 46375-1373
(219) 319-0108
(219) 319-0108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019030606
IL
1223G0001X
General Practice Dentistry
Primary
12012883A
IN
Other
Enumeration date
12/19/2013
Last updated
03/11/2025
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