Individual
DR. JORDAN J TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
333 E ONTARIO ST, SUITE A, CHICAGO, IL 60611-4804
(312) 664-6616
(312) 664-0515
Mailing address
333 E ONTARIO ST, SUITE A, CHICAGO, IL 60611-4804
(312) 664-6616
(312) 664-0515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A14168
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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