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Organization
MELANIE E. JORDAN, DDS, PC
Active
Organization
MELANIE E. JORDAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE EILEEN JORDAN DDS (PRESIDENT)
(814) 236-0539
Entity
Organization
Contact information
Practice address
816 STATE ST, FLOOR ONE, CURWENSVILLE, PA 16833-1039
(814) 236-0539
(814) 236-0443
Mailing address
816 STATE ST, FLOOR ONE, CURWENSVILLE, PA 16833-1039
(814) 236-0539
(814) 236-0443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029353L
PA
1223G0001X
General Practice Dentistry
DS031357L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015294680001
—
PA
Enumeration date
04/17/2008
Last updated
04/17/2008
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