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Organization
JORDAN DENTAL GROUP INC
Active
Organization
JORDAN DENTAL GROUP INC
Active
Other names
Bruce M Jordan DDS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUE NELSON R.D.A. (OFFICE COORDINATOR)
(760) 438-0948
Entity
Organization
Contact information
Practice address
6120 PASEO DEL NORTE, K1, CARLSBAD, CA 92011-1150
(760) 438-0948
(760) 438-7821
Mailing address
PO BOX 130939, CARLSBAD, CA 92013-0939
(760) 438-0948
(760) 438-7821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28010
CA
Other
Enumeration date
04/24/2008
Last updated
07/11/2018
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