DR. Jordan Dietrich, DDS

NPI #1902582604 in Wautoma, Wisconsin

Provider Information

NPI Number
1902582604
Entity Type
Individual
Name
DR. Jordan Dietrich, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 26, 2023
Last Updated
Oct 2, 2025

Practice Location

Address
400 S TOWNLINE RD
ZIP Code
54982-6922
Phone
(920) 787-5514

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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