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Organization
BRADLEY JORDAN DDS, PLLC
Active
Organization
BRADLEY JORDAN DDS, PLLC
Active
Other names
Lone Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DAVID JORDAN D.D.S. (OWNER)
(612) 532-2094
Entity
Organization
Contact information
Practice address
802 20TH ST S, BROOKINGS, SD 57006-4663
(605) 930-4343
Mailing address
802 20TH ST S, BROOKINGS, SD 57006-4663
(605) 930-4343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
284
SD
Other
Enumeration date
09/01/2015
Last updated
03/28/2025
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