Individual
DR. JORDAN DANELL HAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
514 DELAWARE ST, HIAWATHA, KS 66434-2118
(785) 742-2165
Mailing address
514 DELAWARE ST, HIAWATHA, KS 66434-2118
(785) 742-2165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61189
KS
Other
Enumeration date
06/13/2016
Last updated
09/13/2023
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