Individual
CONNISHA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1552 E WABASH ST STE A, FRANKFORT, IN 46041-2783
(765) 659-3443
Mailing address
6640 HARVEST MOON LN, WHITESTOWN, IN 46075-0050
(260) 425-0686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014167A
IN
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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