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Individual
RICHARD C.K. JORDAN
Active
Individual
RICHARD C.K. JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
58144
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DE60086482
WA
Other
Enumeration date
04/04/2006
Last updated
11/23/2009
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