Individual
JORDAN SCOTT BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6 ORIOLE AVE, MEDIA, PA 19063-4515
(610) 679-6109
Mailing address
1310 COLTON RD, GLADWYNE, PA 19035-1104
(610) 999-5501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO41768
PA
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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