Individual
DR. JORDAN ANTHONY JANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2180 E STATE ROUTE 89A, COTTONWOOD, AZ 86326-4635
(954) 557-7399
Mailing address
4208 E ROMA AVE, PHOENIX, AZ 85018-4251
(954) 557-7399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9501
AZ
Other
Enumeration date
06/15/2016
Last updated
10/03/2025
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