Individual
DR. THOMAS JORDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21ST DENTAL COMPANY, BUILDING 3089 D STREET, KANEOHE BAY, HI 96863
(808) 257-3100
Mailing address
BUILDING 3089 D STREET, 21ST DENTAL COMPANY, KANEOHE BAY, HI 96863
(808) 257-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
48925
CA
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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