Jordan Dittberner, DDS
NPI #1174011597 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1174011597
- Entity Type
- Individual
- Name
- Jordan Dittberner, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- May 1, 2018
- Last Updated
- May 1, 2018
Practice Location
- Address
- 4700 WHITE BEAR PKWY
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3336
- Phone
- (651) 762-7677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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