Jordan Jon Annis

NPI #1548873292 in Elm Grove, Wisconsin

Provider Information

NPI Number
1548873292
Entity Type
Individual
Name
Jordan Jon Annis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Aug 24, 2020
Last Updated
Dec 6, 2023

Practice Location

Address
15255 WATERTOWN PLANK RD STE 100
ZIP Code
53122-2338
Phone
(262) 784-7770

Specialties & Taxonomy Codes

Specialty
Dentist

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