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Individual

DR. JORDAN C BLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
55 EAST WASHINGTON STREET, SUITE 3200, CHICAGO, IL 60602
(312) 726-5204
(312) 726-7510
Mailing address
55 EAST WASHINGTON STREET, SUITE 3200, CHICAGO, IL 60602
(312) 726-5204
(312) 726-7510

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A12883
IL

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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