Individual
SAMANTHA LEN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN1001367
DC
122300000X
Dentist
Primary
DN1855713
MA
Other
Enumeration date
06/13/2011
Last updated
05/03/2017
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