Organization
JORDAN & YOUNG DENTAL. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M JORDAN D.D.S. (OWNER/DENTIST)
(860) 688-2679
Entity
Organization
Contact information
Practice address
106 BLOOMFIELD AVE, WINDSOR, CT 06095-2813
(860) 688-2679
(860) 688-3209
Mailing address
106 BLOOMFIELD AVE, WINDSOR, CT 06095-2813
(860) 688-2679
(860) 688-3209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007567
CT
Other
Enumeration date
08/28/2005
Last updated
08/22/2020
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