Individual
DR. JORDAN SUNDERHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1244 N GREENFIELD RD STE 103, MESA, AZ 85205-4078
(480) 964-9020
Mailing address
1244 N GREENFIELD RD STE 103, MESA, AZ 85205-4078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010679
AZ
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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