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Individual
JORDAN MICHAEL JENKINS
Active
Individual
JORDAN MICHAEL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012319A
IN
1223G0001X
General Practice Dentistry
DN 21241
FL
Other
Enumeration date
06/06/2015
Last updated
04/02/2021
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