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Individual

DR. JEFFREY LAMONT JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
5963 CALAIS COURT, 6008 EAST 46TH ST., INDIANAPOLIS, IN 46220
(317) 254-5601
Mailing address
5963 CALAIS COURT, 5963 CALAIS COURT, INDIANAPOLIS, IN 46220
(317) 254-5601

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008913
IN

Other

Enumeration date
04/12/2007
Last updated
07/08/2007
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