Individual
DR. EBONE A JORDAN-UJARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
300 E LONG LAKE RD STE 290, BLOOMFIELD HILLS, MI 48304-2378
(248) 203-2330
Mailing address
300 E LONG LAKE RD STE 290, BLOOMFIELD HILLS, MI 48304-2378
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018001766
IL
1223P0300X
Periodontics
1000979
WI
1223P0300X
Periodontics
Primary
2901020576
MI
Other
Enumeration date
09/27/2010
Last updated
03/17/2018
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