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Organization
MDC DENTAL, LLC
Active
Organization
MDC DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L JORDAN DMD (OWNER/PROVIDER DENTIST)
(724) 459-5310
Entity
Organization
Contact information
Practice address
135 E MARKET ST STE 116, BLAIRSVILLE, PA 15717-1369
(724) 459-5310
(724) 459-5848
Mailing address
135 E MARKET ST STE 116, BLAIRSVILLE, PA 15717-1369
(724) 459-5310
(724) 459-5848
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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