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Organization
JORDAN DENTAL CORPORATION
Active
Organization
JORDAN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY HAROLD JORDAN DMD (PRESIDENT)
(818) 225-7768
Entity
Organization
Contact information
Practice address
23111 VENTURA BLVD, SUITE 104, WOODLAND HILLS, CA 91364
(818) 225-7768
(818) 225-1138
Mailing address
23111 VENTURA BLVD. SUITE 104, WOODLAND HILLS, CA 91364
(818) 225-7768
(818) 225-1138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28575
CA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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