DR. Jordan J Balvich, D.M.D.

NPI #1336364025 in Rensselaer, Indiana

Provider Information

NPI Number: 1336364025
Entity Type: Individual
Name: DR. Jordan J Balvich, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Apr 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 129 N VAN RENSSELAER ST
City: Rensselaer
State: Indiana
ZIP Code: 47978-2651
Phone: (219) 866-8110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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