Individual
DR. JORDAN HETTWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1003 N LAFAYETTE ST, GREENVILLE, MI 48838-1168
(616) 225-9650
Mailing address
2215 9TH AVE S, GRAND FORKS, ND 58201-4115
(701) 741-2492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601404
MI
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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