| Jordan J Balvich, Dmd, Pc | |
|
129 N Van Rensselaer St Rensselaer IN 47978-2651 | |
| (219) 866-8110 | |
| (219) 866-8332 |
| Full Name | Jordan J Balvich, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 129 N Van Rensselaer St, Rensselaer, Indiana |
| Authorized Official Name and Position | Jordan J Balvich (PRESIDENT) |
| Authorized Official Contact | 2198668110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan J Balvich, Dmd, Pc 129 N Van Rensselaer St Rensselaer IN 47978-2651 Ph: (219) 866-8110 | Jordan J Balvich, Dmd, Pc 129 N Van Rensselaer St Rensselaer IN 47978-2651 Ph: (219) 866-8110 |
| NPI Number | 1841458916 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841458916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12009540A (Indiana) | Primary |
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