Individual
DR. JORDAN SIMONOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
523 W 87TH ST, NAPERVILLE, IL 60565-3128
(815) 979-4143
Mailing address
523 W 87TH ST, NAPERVILLE, IL 60565-3128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029826
IL
Other
Enumeration date
06/19/2014
Last updated
10/01/2016
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