Individual
DR. GEORGE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18505 BOOTH MEMORIAL AVE, FRESH MEADOWS, NY 11365-2241
(718) 357-5332
(718) 357-5757
Mailing address
18505 BOOTH MEMORIAL AVE, FRESH MEADOWS, NY 11365-2241
(718) 357-5332
(718) 357-5757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036620
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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