Organization
JORDAN LEDGER, DDS, PC
Active
Other names
Chicago Oral Surgery & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LEDGER D.D.S. (OWNER/ORAL SURGEON)
(319) 321-1394
Entity
Organization
Contact information
Practice address
1229 W WASHINGTON BLVD, SUITE 220, CHICAGO, IL 60607-2132
(312) 620-1926
Mailing address
1229 W WASHINGTON BLVD, SUITE 220, CHICAGO, IL 60607-2132
(312) 620-1926
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019028719
IL
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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